Z48-26863-11000
5 vaccinations
5 coded responses
63 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 170 / PA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Registered in v-safe
-
2021-02-05
Dose 1 — Moderna
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Migraine, Pre-existing disease — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: Headache was a migraine (long time migraine patient)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Pre-existing disease — Feeling: Good · Site: Pain · Headache · Be unable to do your normal daily activitiesFree text: I get migraines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
-
2021-09-03
Survey response — 6 months, dose 2MedDRA: Dizziness, Migraine — Feeling: GoodFree text: Some times of lightheadedness, particularly before and during migraines.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-03
Dose 3 — Moderna
-
2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Chills · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2022-02-02
-
2022-04-15
Dose 4 — Moderna
-
2022-04-19
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Migraine, Pre-existing disease, Vaccine positive rechallenge — Feeling: GoodFree text: The day after I got the 4th shot, I had a migraine* and pain at the injection site. (* I have a history of migraines - this was the 3rd time of the 4 shots that I've gotten a migraine the day afterwards.)MedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Migraine, Pre-existing disease — Feeling: Fair · Headache · Be unable to do your normal daily activitiesFree text: Many years history of migraines. This is second one since shot on Friday (4-15).MedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-07-15
-
2022-09-21
Dose 5 — Moderna
- 2022-09-21
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body achesAdult check-in
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-12-21
- 2023-03-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-11-03 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Headache was a migraine (long time migraine patient)
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I get migraines.
Release 9 — 6 months, dose 2
Symptoms: Some times of lightheadedness, particularly before and during migraines.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The day after I got the 4th shot, I had a migraine* and pain at the injection site. (* I have a history of migraines - this was the 3rd time of the 4 shots that I've gotten a migraine the day afterwards.)
Systemic reaction (other): Many years history of migraines. This is second one since shot on Friday (4-15).
Each entry is dated by the survey it was written in (the CDC re-sent the releases with survey dates in 2025); click a date to see that survey response. The CDC cut some text off at about 250 characters: symptoms in every release, and the other two fields in releases 9-12. Those entries are marked "cut off by CDC".
MedDRA terms by release
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Dizziness | ✓ | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release