Z8Q-29593-94799
2 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Moderna
-
2021-02-26
Registered in v-safe
- 2021-02-26
- 2021-02-27
- 2021-03-07
- 2021-03-13
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Hypotension — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Very low blood pressure. I havent taken my blood pressure meds in 5 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Loss of consciousness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Fainted in the bathroom paramedics cameMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Injury, Syncope — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Just the areas I injured when I faintedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
-
2021-04-05
Survey response — day 14, dose 2MedDRA: Liver disorder, Nausea, Pain, Pancreatic disorder, Rash — Feeling: FairFree text: Rash on my face lasting 30 minutes after I eat then goes away. My body feels itchy for 10-20 minutes then goes away. I think my liver or pancreas is going crazy. I wake up nauseous then feel better. Overall if I eat very little each time Im ok.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
- 2021-04-24
-
2021-05-01
Survey response — day 42, dose 2MedDRA: Hospitalisation, Oesophagitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: In the hospitals esophagitis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-19
- 2021-09-18
- 2022-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Very low blood pressure. I havent taken my blood pressure meds in 5 days.
Systemic reaction (other): Fainted in the bathroom paramedics came
Systemic reaction (other): Just the areas I injured when I fainted
Release 6 — day 14, dose 2
Symptoms: Rash on my face lasting 30 minutes after I eat then goes away. My body feels itchy for 10-20 minutes then goes away. I think my liver or pancreas is going crazy. I wake up nauseous then feel better. Overall if I eat very little each time Im ok.
Release 8 — day 42, dose 2
Symptoms: In the hospitals esophagitis.
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 | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Liver disorder | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oesophagitis | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pancreatic disorder | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Hypotension | ✓ | ✓ | ✓ |
| SRO | Injury | ✓ | ✓ | ✓ |
| SRO | Loss of consciousness | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release