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Z7Q-35034-84069

5 vaccinations 4 coded responses 29 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
907 / CA
Registered
2021-05-02
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-07
    Dose 1 — Moderna
  2. 2021-05-02
    Registered in v-safe
  3. 2021-05-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-05-04
    Dose 2 — Moderna
  5. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  6. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body aches
    Adult check-in
  7. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Muscle or body aches
    Adult check-in
  8. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  10. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-05-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-02
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-18
    Survey response — day 42, dose 2
    MedDRA: Dizziness, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had a dizzy spell 7 days ago when I was working outside. I had this happen when I was inside about 1 1/2 months ago. Never had before. I had a mild case of COVID in early January 2021 so not sure it was vaccine or getting COVID caused dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-08-07
    Survey response — 3 months, dose 2
    MedDRA: Cognitive disorder, Confusional state, Mental impairment, Pre-existing disease — Feeling: Fair
    Free text: I have difficulty processing info and thinking but I think its due to having a mild case of COVID on Jan 1, 2021 and not the vaccine. Maybe the vaccine made my symptoms get worse but I dont think they were the cause of confusion & lack of clari
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  18. 2021-11-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-16
    Dose 3 — Moderna
  20. 2022-05-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-05-11
    Dose 4 — Moderna
  22. 2022-05-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  23. 2022-05-17
    Survey response — days 1–6 daily, dose 4
    MedDRA: Eye pruritus, Nasal congestion — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Stuffy nose, itchy eyes, both mild
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-05-20
    Survey response — day 7, dose 4
    MedDRA: Nasal congestion — Feeling: Fair · Fever
    Free text: Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-05-25
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-06-01
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-06-08
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-06-15
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-06-22
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-08-10
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-10-03
    Dose 5 — Moderna
  32. 2022-11-09
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  33. 2022-11-14
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  34. 2023-01-02
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  35. 2023-04-03
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Moderna
22021-05-04Moderna
32021-11-16Moderna No
42022-05-11Moderna No
52022-10-03Moderna No

Free text

Release 9 — day 42, dose 2

2021-06-18

Symptoms: I had a dizzy spell 7 days ago when I was working outside. I had this happen when I was inside about 1 1/2 months ago. Never had before. I had a mild case of COVID in early January 2021 so not sure it was vaccine or getting COVID caused dizziness

Release 9 — 3 months, dose 2

2021-08-07

Symptoms: I have difficulty processing info and thinking but I think its due to having a mild case of COVID on Jan 1, 2021 and not the vaccine. Maybe the vaccine made my symptoms get worse but I dont think they were the cause of confusion & lack of clari

Release 11 — days 1–6 daily, dose 4

2022-05-17

Systemic reaction (other): Stuffy nose, itchy eyes, both mild

Release 11 — day 7, dose 4

2022-05-20

Systemic reaction (other): Stuffy nose

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

FieldPreferred term2021-092023-042024-11
SDCognitive disorder ✓ · ✓
SDConfusional state ✓ · ✓
SDDizziness ✓ ✓ ✓
SDMental impairment ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SROEye pruritus · · ✓
SRONasal congestion · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release