Z96-45418-76800
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 229 / VA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
-
2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Nausea, Abdominal painAdult check-in
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-12
- 2021-01-14
-
2021-01-21
Survey response — day 14, dose 1MedDRA: Cough, Dysphonia — Feeling: GoodFree text: Cough is still mild but a TINY bit junky and voice is a very tiny bit raspy. I get this at least twice a year...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
-
2021-02-04
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Abdominal painAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Chest discomfort, Chest pain, Condition aggravated, Cough, Glossodynia, Neck pain, Oropharyngeal pain, Pain of skin, Photosensitivity reaction, Respiratory tract congestion, Throat tightness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Chest pain, sternum pain, lungs feel tight, photosensitivity, sore throat, throat's mildly tight, mild cough, my fat hurts - yes my fat, skin is very tender, sciatic pain worsening, neck pain, tongue pain, congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Nausea, Abdominal painAdult check-in
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Hallucination, Hallucination, auditory — Feeling: Good · Site: PainFree text: Since day 2 I've had hallucinatory effects - like I'm out of my head. First day I wasn't making sense and knew it, it's been getting better daily and is very mild today. Forgot to reportMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
-
2021-03-04
Survey response — day 28, dose 2MedDRA: Aphasia, Arthralgia, Back pain, Feeling abnormal — Feeling: GoodFree text: Worsening joint/back painUnable to find wordsBrain foggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-07
-
2022-02-04
Survey response — 12 months, dose 2MedDRA: Headache, Nasopharyngitis, Nausea, Respiratory disorder — Feeling: GoodFree text: Upper respiratory issues, kind of like a cold. Chronic headaches. Nausea.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 2 — day 14, dose 1
Symptoms: Cough is still mild but a TINY bit junky and voice is a very tiny bit raspy. I get this at least twice a year...
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Chest pain, sternum pain, lungs feel tight, photosensitivity, sore throat, throat's mildly tight, mild cough, my fat hurts - yes my fat, skin is very tender, sciatic pain worsening, neck pain, tongue pain, congestion
Systemic reaction (other): Since day 2 I've had hallucinatory effects - like I'm out of my head. First day I wasn't making sense and knew it, it's been getting better daily and is very mild today. Forgot to report
Release 5 — day 28, dose 2
Symptoms: Worsening joint/back painUnable to find wordsBrain foggy
Release 11 — 12 months, dose 2
Symptoms: Upper respiratory issues, kind of like a cold. Chronic headaches. Nausea.
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 | Aphasia | ✓ | ✓ | ✓ |
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Dysphonia | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Respiratory disorder | · | · | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | · | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Hallucination | ✓ | · | ✓ |
| SRO | Hallucination, auditory | ○ | ✓ | ○ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Photosensitivity reaction | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Throat tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release