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
-
2021-04-07
Dose 1 — Moderna
-
2021-05-02
Registered in v-safe
- 2021-05-02
-
2021-05-04
Dose 2 — Moderna
-
2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body achesAdult check-in
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Muscle or body achesAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-20
- 2021-05-25
- 2021-06-02
- 2021-06-09
-
2021-06-18
Survey response — day 42, dose 2MedDRA: Dizziness, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree 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 dizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-07
Survey response — 3 months, dose 2MedDRA: Cognitive disorder, Confusional state, Mental impairment, Pre-existing disease — Feeling: FairFree 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 clariMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-04
-
2021-11-16
Dose 3 — Moderna
- 2022-05-06
-
2022-05-11
Dose 4 — Moderna
-
2022-05-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
-
2022-05-17
Survey response — days 1–6 daily, dose 4MedDRA: Eye pruritus, Nasal congestion — Feeling: Fair · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Stuffy nose, itchy eyes, both mildMedDRA releases: 2024-11 · check-in free text available
-
2022-05-20
Survey response — day 7, dose 4MedDRA: Nasal congestion — Feeling: Fair · FeverFree text: Stuffy noseMedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-06-22
- 2022-08-10
-
2022-10-03
Dose 5 — Moderna
- 2022-11-09
- 2022-11-14
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-04 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-05-11 | Moderna | No |
| 5 | 2022-10-03 | Moderna | No |
Free text
Release 9 — day 42, dose 2
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
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
Systemic reaction (other): Stuffy nose, itchy eyes, both mild
Release 11 — day 7, dose 4
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Cognitive disorder | ✓ | · | ✓ |
| SD | Confusional state | ✓ | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Mental impairment | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | · | · | ✓ |
| SRO | Nasal congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release