Z7W-28045-22715
1 vaccination
5 coded responses
5 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 992 / WA
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Moderna
-
2021-04-23
Registered in v-safe
-
2021-04-23
Survey response — day 7, dose 1MedDRA: Arthralgia, Chills, Decreased appetite, Fatigue, Headache, Illness, Myalgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2 days after vaccine I got chills headache joint pain muscle body aches fatigue didnt eat for a day, only 1 day of sickness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-02
Survey response — day 14, dose 1MedDRA: Chills, Fatigue, Feeding disorder, Malaise, Pain — Feeling: Good · Be unable to do your normal daily activitiesFree text: After my vaccination I got really sick the third day. body aches all over, tired, chills, didnt eat for a day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-07-16
Survey response — 3 months, dose 1MedDRA: Stomatitis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sores all over in my mouth after last moderna vaccine.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-15
Survey response — 6 months, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: My hair was falling out. From the beginning but I didn't know it was from Covid. Now I do because I haven't done anything different and then it suddenly stopped.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Survey response — 12 months, dose 1MedDRA: Catarrh, Chills, Feeling of body temperature change, Nasal discomfort, Oral herpes, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Snuffy runny nose phlegm build up n sore throat. Last 4 days had hot n cold chills but those are gone. Have cold sore on lip.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna |
Free text
Release 7 — day 7, dose 1
Systemic reaction (other): 2 days after vaccine I got chills headache joint pain muscle body aches fatigue didnt eat for a day, only 1 day of sickness.
Release 8 — day 14, dose 1
Symptoms: After my vaccination I got really sick the third day. body aches all over, tired, chills, didnt eat for a day.
Release 9 — 3 months, dose 1
Symptoms: Sores all over in my mouth after last moderna vaccine.
Release 10 — 6 months, dose 1
Symptoms: My hair was falling out. From the beginning but I didn't know it was from Covid. Now I do because I haven't done anything different and then it suddenly stopped.
Release 11 — 12 months, dose 1
Symptoms: Snuffy runny nose phlegm build up n sore throat. Last 4 days had hot n cold chills but those are gone. Have cold sore on lip.
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 | Catarrh | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeding disorder | ✓ | ✓ | ✓ |
| SD | Feeling of body temperature change | · | · | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasal discomfort | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Stomatitis | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Illness | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release