Z5T-95518-59283
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 946 / CA
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
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2021-03-25
Survey response — day 0, dose 1MedDRA: Disturbance in attention, Dizziness, Feeling abnormal, Slow response to stimuli — Feeling: Good · Site: Pain, SwellingFree text: I feel slow. Kind of out of it. Brain working but not as much as usual. Also a little dizzy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-03-28
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2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Fatigue or tirednessAdult check-in
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-17
-
2021-04-22
Survey response — day 28, dose 1MedDRA: Headache — Feeling: GoodFree text: Some headaches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Dose 2 — Moderna
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-23
- 2021-05-28
- 2021-06-05
- 2021-07-23
- 2021-10-22
-
2021-10-28
Dose 3 — Pfizer-BioNTech
- 2021-10-29
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Back pain, Injection site pain, Insomnia — Feeling: Good · Fever · Be unable to do your normal daily activitiesFree text: Strangely the sore spot where I got the shot moved to the back/under my arm. Was difficult to sleep last night because it was so sore.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-27
- 2021-12-02
- 2021-12-09
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2022-01-27
Survey response — 3 months, dose 3MedDRA: Diarrhoea, Exposure to SARS-CoV-2, SARS-CoV-2 test negative, SARS-CoV-2 test positive, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: In late December my daughter got Covid. I think I also had it in early January. I had 24 hours of non-stop concurrent diarrhea and vomiting. After that, my other daughter got Covid. My at home test was faintly positive but I had 2 negative PCR testsMedDRA releases: 2024-11 · check-in free text available
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-10-28 | Pfizer-BioNTech | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): I feel slow. Kind of out of it. Brain working but not as much as usual. Also a little dizzy.
Release 7 — day 28, dose 1
Symptoms: Some headaches.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Strangely the sore spot where I got the shot moved to the back/under my arm. Was difficult to sleep last night because it was so sore.
Release 11 — 3 months, dose 3
Symptoms: In late December my daughter got Covid. I think I also had it in early January. I had 24 hours of non-stop concurrent diarrhea and vomiting. After that, my other daughter got Covid. My at home test was faintly positive but I had 2 negative PCR tests cut off by CDC
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 | Diarrhoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Back pain | · | · | ✓ |
| SRO | Disturbance in attention | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Slow response to stimuli | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release