Z8Q-16785-46108
4 vaccinations
5 coded responses
53 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 600 / IL
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-11
- 2021-01-12
- 2021-01-15
- 2021-01-21
- 2021-01-28
- 2021-02-03
-
2021-02-09
Dose 2 — Moderna
- 2021-02-09
- 2021-02-10
-
2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Migraine, Neurological symptom — Feeling: Good · Site: PainFree text: I would t call it a headache. I get migraines and headaches normally but Ive felt like a sharp zing right side temporal. Last about 10 seconds. Started 48 hours after. No other neurological issues at all. Just feels weird and not sure related. No numbness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Minor but the same zings right side of temporal area. Lasts seconds but its painful. Less occurrence than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-10
- 2021-03-16
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-10-24
Dose 3 — Moderna
- 2021-10-24
- 2021-10-25
- 2021-10-26
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Fair · Headache, NauseaFree text: Started last night and minimal todayMedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-04
Dose 4 — Moderna
- 2022-04-05
- 2022-04-06
- 2022-04-07
- 2022-04-08
- 2022-04-09
- 2022-04-11
- 2022-04-18
- 2022-04-25
- 2022-05-02
- 2022-05-09
-
2022-05-16
Survey response — day 42, dose 4MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activitiesFree text: CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-07-04
Survey response — 3 months, dose 4MedDRA: Nasal congestion, Oropharyngeal pain, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activitiesFree text: Stuffy nose and sore throat Diagnosed with COVID on antigen test at home Dr notifiedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-03
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I would t call it a headache. I get migraines and headaches normally but Ive felt like a sharp zing right side temporal. Last about 10 seconds. Started 48 hours after. No other neurological issues at all. Just feels weird and not sure related. No numbness.
Systemic reaction (other): Minor but the same zings right side of temporal area. Lasts seconds but its painful. Less occurrence than yesterday.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Started last night and minimal today
Release 11 — day 42, dose 4
Symptoms: Covid
Release 12 — 3 months, dose 4
Symptoms: Stuffy nose and sore throat Diagnosed with COVID on antigen test at home Dr notified
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 | COVID-19 | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Neurological symptom | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release