Z7V-83664-27222
4 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 805 / CO
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Woke up with bad headache. Went away mid morning. Might be from something else?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 1MedDRA: Chills, Dizziness, Fatigue, Headache, Injection site erythema, Injection site pruritus, Nausea, Pain in extremity, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: 2/03 itching at injection site2/04 itching and red at injection site, arm aches a lot, queasy, threw up, mildly dizzy, chills, no fever. 2/05 mildly queasy, mild fatigue, moderate headacheSeemed odd to occur 1 week after 1st doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: A little dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-25
- 2021-03-31
- 2021-04-07
-
2021-05-26
Survey response — 3 months, dose 2MedDRA: Dysphonia, Fatigue, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Very recent cold-like symptoms. Sore throat, hoarseness, headache, runny and congested nose, fatigue. No fever. COVID test yesterday. Results pending.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-25
-
2021-11-24
Dose 3 — Moderna
-
2022-05-05
Dose 4 — Moderna
- 2022-08-04
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-05-05 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Woke up with bad headache. Went away mid morning. Might be from something else?
Release 4 — day 14, dose 1
Symptoms: 2/03 itching at injection site2/04 itching and red at injection site, arm aches a lot, queasy, threw up, mildly dizzy, chills, no fever. 2/05 mildly queasy, mild fatigue, moderate headacheSeemed odd to occur 1 week after 1st dose
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): A little dizzy
Release 8 — 3 months, dose 2
Symptoms: Very recent cold-like symptoms. Sore throat, hoarseness, headache, runny and congested nose, fatigue. No fever. COVID test yesterday. Results pending.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release