Z98-28647-49045
3 vaccinations
5 coded responses
41 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 779 / TX
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Good · Chills, Headache, Fatigue or tirednessFree text: Minor tenderness of lymph node under arm on side of injection (just noticed this morning).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: 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 activitiesAdult check-in
-
2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-18
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Fair · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessFree text: I forgot to report on my first day after the second shot, I had an elevated heart rate most of the day. My normal non-resting HR is 78-84 BPM. On Friday, 2021-04-16, my HR range was 92-109 BPM, without any exertion.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
-
2021-12-16
Dose 3 — Moderna
-
2021-12-16
Health check-in — day 0, dose 3Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-18
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pain in shoulder, pain and swelling of underarm lymph nodes, and intermittent aching in wrist, on same side as injection.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-19
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Lymph node pain, Lymphadenopathy, Pain in extremity — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Pain in shoulder, pain and swelling in underarm lymph nodes, and intermittent aching of wrist and thumb, all on same side of body as injecting.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-20
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-12-21
- 2021-12-22
- 2021-12-23
- 2021-12-30
- 2022-01-13
- 2022-01-20
-
2022-01-27
Survey response — day 42, dose 3MedDRA: Asthenia, Dizziness postural, Fatigue — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: For period of a few days: unexplained, general, extreme fatigue (exhaustion), and occasional weakness and dizziness while sitting. No other symptoms associated with COVID, so I don't believe that's what it was. Still have remaining low-level fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-17
- 2022-06-16
- 2022-12-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-15 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Minor tenderness of lymph node under arm on side of injection (just noticed this morning).
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to report on my first day after the second shot, I had an elevated heart rate most of the day. My normal non-resting HR is 78-84 BPM. On Friday, 2021-04-16, my HR range was 92-109 BPM, without any exertion.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain in shoulder, pain and swelling of underarm lymph nodes, and intermittent aching in wrist, on same side as injection.
Systemic reaction (other): Pain in shoulder, pain and swelling in underarm lymph nodes, and intermittent aching of wrist and thumb, all on same side of body as injecting.
Release 11 — day 42, dose 3
Symptoms: For period of a few days: unexplained, general, extreme fatigue (exhaustion), and occasional weakness and dizziness while sitting. No other symptoms associated with COVID, so I don't believe that's what it was. Still have remaining low-level fatigue. cut off by CDC
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 | Asthenia | · | · | ✓ |
| SD | Dizziness postural | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release