Z4R-24891-70407
4 vaccinations
3 coded responses
27 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 947 / CA
- 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
-
2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
- 2021-03-05
-
2021-03-06
Dose 2 — Moderna
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Shot was 3/6. I had body aches, fatigue, chills, fever 101.6 and headache starting about 1 hour after shot and full engagement within 8 hours. Fever broke after 24 hrs, then weak and tired for another day. Would still do it again. Worth it!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
-
2021-09-21
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-11-02
- 2021-12-21
-
2022-03-22
Survey response — 6 months, dose 3MedDRA: Fatigue, Headache, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2-3 days headache, congestion, fatigue.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-29
Dose 4 — Moderna
-
2022-05-14
Survey response — day 14, dose 4MedDRA: Abdominal pain, Arthralgia, Chills, Headache, Malaise, Mobility decreased, Pain, Pain in extremity, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Issues w/second booster. Extremely sore and u able to move arm, sick 1.5 days w/fever 102.3, chills, body/joint aches, abdominal pain, massive headache.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-05-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-09-21 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Shot was 3/6. I had body aches, fatigue, chills, fever 101.6 and headache starting about 1 hour after shot and full engagement within 8 hours. Fever broke after 24 hrs, then weak and tired for another day. Would still do it again. Worth it!
Release 11 — 6 months, dose 3
Symptoms: 2-3 days headache, congestion, fatigue.
Release 11 — day 14, dose 4
Symptoms: Issues w/second booster. Extremely sore and u able to move arm, sick 1.5 days w/fever 102.3, chills, body/joint aches, abdominal pain, massive headache.
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 | Abdominal pain | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release