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Z9Q-66224-95067

2 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
731 / OK
Registered
2021-05-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-03
    Dose 1 — Moderna
  2. 2021-05-04
    Registered in v-safe
  3. 2021-05-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-05-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blood glucose decreased, Tremor — Feeling: Fair · Abdominal pain
    Free text: It seems as if my blood sugar keeps going down. I keep feeling shaky until I eat then it goes away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-10
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness, Abdominal pain
    Adult check-in
  10. 2021-05-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-31
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-06-06
    Dose 2 — Moderna
  14. 2021-06-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Just pain in my arm where I recieved the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-06-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-06-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  18. 2021-06-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · None
    Adult check-in
  19. 2021-06-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · None
    Adult check-in
  20. 2021-06-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-20
    Survey response — day 14, dose 2
    MedDRA: Cough, Fatigue — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I have a cough that's lasted for two weeksI feel very drug down.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-27
    Survey response — day 21, dose 2
    MedDRA: Pain in extremity — Feeling: Fair
    Free text: New pain in my arm where I got my second shot when I woke up this morning, but it eventually stopped hurting.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-07-04
    Survey response — day 28, dose 2
    MedDRA: Cough, Ear pain, Headache, Injection site pain, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Have been experiencing pain in both arms where the covid shots were given. Right now I have a cough and my head hurts, my ears hurt, and my throat hurts.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-07-11
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-07-18
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-05
    Survey response — 3 months, dose 2
    MedDRA: Chest pain — Feeling: Poor
    Free text: I am having chest pain.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-12-05
    Survey response — 6 months, dose 2
    MedDRA: Diarrhoea, Fatigue, Rhinorrhoea — Feeling: Poor
    Free text: I am currently experiencing diarrhea, extreme fatigue, runny nose.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-06-06
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-03Moderna
22021-06-06Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-05

Systemic reaction (other): It seems as if my blood sugar keeps going down. I keep feeling shaky until I eat then it goes away.

Release 8 — days 1–6 daily, dose 2

2021-06-07

Systemic reaction (other): Just pain in my arm where I recieved the shot.

Release 9 — day 14, dose 2

2021-06-20

Symptoms: I have a cough that's lasted for two weeksI feel very drug down.

Release 9 — day 21, dose 2

2021-06-27

Symptoms: New pain in my arm where I got my second shot when I woke up this morning, but it eventually stopped hurting.

Release 9 — day 28, dose 2

2021-07-04

Symptoms: Have been experiencing pain in both arms where the covid shots were given. Right now I have a cough and my head hurts, my ears hurt, and my throat hurts.

Release 9 — 3 months, dose 2

2021-09-05

Symptoms: I am having chest pain.

Release 10 — 6 months, dose 2

2021-12-05

Symptoms: I am currently experiencing diarrhea, extreme fatigue, runny nose.

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

FieldPreferred term2021-092023-042024-11
SDChest pain ✓ · ✓
SDCough ✓ ✓ ✓
SDDiarrhoea · · ✓
SDEar pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRhinorrhoea · · ✓
SROBlood glucose decreased ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROTremor ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release