Z7C-10541-08097
2 vaccinations
5 coded responses
13 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 838 / ID
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-11
Registered in v-safe
-
2021-02-11
Dose 1 — Moderna
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2021-02-11
Survey response — day 0, dose 1MedDRA: Injection site reaction, Muscle discomfort — Feeling: GoodFree text: Typical mild soreness at site of muscle shot. Not painful. Mildly soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain — Feeling: GoodFree text: Could not distinguish tireness from normal tiredness. A little more soreness than yesterday, not much. Went x-country skiing, didn't feel anythin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort — Feeling: Fair · NauseaFree text: Very slight stomach being 'off'. Hard to equate to vaccine or just a slightly off day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
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2021-02-16
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: 5 days past #1 vaccine. Feeling fine. Din't need daily checks unless you want them.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
- 2021-02-18
- 2021-02-25
- 2021-03-04
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2021-03-11
Dose 2 — Moderna
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Myalgia, Sciatica — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I felt these symtoms on 3/12 for one day. Frpm 3/13 on I feel fine. Woke every 2 hours on first night the 11th which I never do so vaccine related. My siatica in.my right hip was really bad that night. After that, just usual. Are was more sore than pain for 2-3 days. Today, 14th, very mild soreness in the muscle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-09-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-11 | Moderna | |
| 2 | 2021-03-11 | Moderna |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Typical mild soreness at site of muscle shot. Not painful. Mildly sore
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Could not distinguish tireness from normal tiredness. A little more soreness than yesterday, not much. Went x-country skiing, didn't feel anythin.
Systemic reaction (other): Very slight stomach being 'off'. Hard to equate to vaccine or just a slightly off day.
Systemic reaction (other): 5 days past #1 vaccine. Feeling fine. Din't need daily checks unless you want them.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I felt these symtoms on 3/12 for one day. Frpm 3/13 on I feel fine. Woke every 2 hours on first night the 11th which I never do so vaccine related. My siatica in.my right hip was really bad that night. After that, just usual. Are was more sore than pain for 2-3 days. Today, 14th, very mild soreness in the muscle.
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 |
|---|---|---|---|---|
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Muscle discomfort | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Sciatica | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release