Z4T-45070-29000
4 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 330 / FL
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-11
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Injection site pain, Pain — Feeling: Good · DiarrheaFree text: I did have some pain at the injection site for the first 36 hrs, had a slight headache and minimal body aches 1st 36 hrs but none todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-09
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Slight itching on extremitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pruritus — Feeling: Good · Site: RednessFree text: Still very slight itch on stomach and on opposite side of arm where injection was (slight red and itch)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
- 2021-05-22
- 2021-07-06
- 2021-10-05
-
2021-10-29
Dose 3 — Moderna
- 2022-04-09
-
2022-04-30
Dose 4 — Moderna
-
2022-07-30
Survey response — 3 months, dose 4MedDRA: COVID-19, Dry throat, Fatigue, Oropharyngeal pain, Pain, SARS-CoV-2 test positive — Feeling: GoodFree text: Had covid at end of June Mild symptoms included body aches, tired, sore/dry throat. Felt better in a few days; tired for a few weeks. Tested positive for 14 days. Fine nowMedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2023-04-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-30 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I did have some pain at the injection site for the first 36 hrs, had a slight headache and minimal body aches 1st 36 hrs but none today
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Slight itching on extremities
Systemic reaction (other): Still very slight itch on stomach and on opposite side of arm where injection was (slight red and itch)
Release 12 — 3 months, dose 4
Symptoms: Had covid at end of June Mild symptoms included body aches, tired, sore/dry throat. Felt better in a few days; tired for a few weeks. Tested positive for 14 days. Fine now
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 | COVID-19 | · | · | ✓ |
| SD | Dry throat | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release