Z74-19794-58366
3 vaccinations
5 coded responses
32 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 206 / MD
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
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2021-03-11
Health check-in — day 0, dose 1Feeling: Fair · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-03-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
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2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · HeadacheFree text: I did have a low grade fever of 99.4 yesterday evening after submitting my surveyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
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2021-03-15
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Slightly tired this morning. By noon I was good to go.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-17
- 2021-03-18
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2021-03-27
Survey response — day 14, dose 1MedDRA: Lymphadenopathy, Rash macular — Feeling: FairFree text: Last check in was 3/18. Next day i got a red bullseye circle, red blotches inside and out my right arm. Swollen lymph nodes underneath my right arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-07
Dose 2 — Moderna
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2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
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2021-07-12
Survey response — 3 months, dose 2MedDRA: Influenza — Feeling: FairFree text: I contracted the flu from my oldest son.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-11-15
Dose 3 — Moderna
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2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-11-19
- 2021-11-20
- 2021-11-21
- 2021-11-22
- 2021-11-29
- 2021-12-07
- 2021-12-13
- 2021-12-20
- 2021-12-27
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2022-02-17
Survey response — 3 months, dose 3MedDRA: Epistaxis, Respiratory tract congestion, Sinus disorder, Sneezing — Feeling: GoodFree text: Bad sinus problems. Sneezing, congestion, bloody nose. I think its the dryness in the air.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-07 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I did have a low grade fever of 99.4 yesterday evening after submitting my survey
Systemic reaction (other): Slightly tired this morning. By noon I was good to go.
Release 6 — day 14, dose 1
Symptoms: Last check in was 3/18. Next day i got a red bullseye circle, red blotches inside and out my right arm. Swollen lymph nodes underneath my right arm.
Release 9 — 3 months, dose 2
Symptoms: I contracted the flu from my oldest son.
Release 11 — 3 months, dose 3
Symptoms: Bad sinus problems. Sneezing, congestion, bloody nose. I think its the dryness in the air.
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 | Epistaxis | · | · | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ○ | ○ | ○ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release