Z5E-58625-04790
5 vaccinations
7 coded responses
52 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Dose 1 — Moderna
-
2021-02-18
Registered in v-safe
- 2021-02-18
- 2021-02-20
- 2021-02-28
-
2021-03-03
Dose 2 — Moderna
- 2021-03-14
- 2021-03-17
-
2021-03-24
Survey response — day 21, dose 2MedDRA: Dizziness, Headache, Stress — Feeling: GoodFree text: A dizzy spell and mild headache, but likely due to stress, not the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-03
- 2021-09-01
-
2021-10-24
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Yesterday afternoon i felt tiredMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · NauseaFree text: Probably from dinner out not the shotMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Nausea — Feeling: Good · NauseaFree text: Stomach has been queasyMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-25
Dose 4 — Moderna
- 2022-04-26
- 2022-04-26
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
-
2022-10-05
Dose 5 — Moderna
- 2022-10-06
- 2022-10-07
- 2022-10-08
-
2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: Arthralgia, Ear pain, Oropharyngeal pain — Feeling: Good · Muscle or body achesFree text: Right Ear pain, right side throat, down right hipMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-11
- 2022-10-12
-
2022-10-19
Survey response — day 14, dose 5MedDRA: Diarrhoea, Gastrointestinal disorder — Feeling: GoodFree text: Had over a week of stomach problemsdiarrhea mostly in the mornings.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-11-02
- 2022-11-09
-
2022-11-16
Survey response — day 42, dose 5MedDRA: Cough, Headache, Malaise, Nasopharyngitis, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very bad cold, cough, runny nose, headache. Husband in hospital last 5days with heart problem. I'm staying hom now that I'm sick.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-10-05 | Moderna | No |
Free text
Release 6 — day 21, dose 2
Symptoms: A dizzy spell and mild headache, but likely due to stress, not the vaccination.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Yesterday afternoon i felt tired
Systemic reaction (other): Probably from dinner out not the shot
Systemic reaction (other): Stomach has been queasy
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Right Ear pain, right side throat, down right hip
Release 12 — day 14, dose 5
Symptoms: Had over a week of stomach problemsdiarrhea mostly in the mornings.
Release 12 — day 42, dose 5
Symptoms: Very bad cold, cough, runny nose, headache. Husband in hospital last 5days with heart problem. I'm staying hom now that I'm sick.
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 | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Stress | ✓ | ✓ | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release