Z8E-10870-73793
4 vaccinations
6 coded responses
23 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 337 / FL
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain, SwellingFree text: injection site issue about 8 hrs. after the shot & much improved the next day. Very slight swelling same spot & nothing else.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-08
Dose 2 — Moderna
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache — Feeling: Fair · Site: Pain, Swelling · HeadacheFree text: Very slight headache & a bit tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Fatigue — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Super tired on day #2 after shot but way better today. Very manageable discomfort since shot but probably more fatigue with #2MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Syncope — Feeling: GoodFree text: Very faint & brief headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-22
- 2021-08-09
-
2021-10-28
Dose 3 — Moderna
- 2022-02-08
-
2022-04-08
Dose 4 — Moderna
- 2022-04-08
-
2022-04-09
Survey response — days 1–6 daily, dose 4MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Last night was stronger so improving & shot has not yet been 24 hrsMedDRA releases: 2024-11 · check-in free text available
-
2022-04-10
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Slight pain at injection site but manageableMedDRA releases: 2024-11 · check-in free text available
- 2022-04-11
- 2022-04-13
- 2022-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): injection site issue about 8 hrs. after the shot & much improved the next day. Very slight swelling same spot & nothing else.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Very slight headache & a bit tired
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Super tired on day #2 after shot but way better today. Very manageable discomfort since shot but probably more fatigue with #2
Systemic reaction (other): Very faint & brief headache
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Last night was stronger so improving & shot has not yet been 24 hrs
Systemic reaction (other): Slight pain at injection site but manageable
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 | Adverse reaction | · | · | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release