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
-
2021-05-03
Dose 1 — Moderna
-
2021-05-04
Registered in v-safe
-
2021-05-04
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-05
Survey response — days 1–6 daily, dose 1MedDRA: Blood glucose decreased, Tremor — Feeling: Fair · Abdominal painFree 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
- 2021-05-06
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
-
2021-06-06
Dose 2 — Moderna
-
2021-06-07
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just pain in my arm where I recieved the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
- 2021-06-09
- 2021-06-10
- 2021-06-11
- 2021-06-12
- 2021-06-13
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2021-06-20
Survey response — day 14, dose 2MedDRA: Cough, Fatigue — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
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2021-06-27
Survey response — day 21, dose 2MedDRA: Pain in extremity — Feeling: FairFree 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
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2021-07-04
Survey response — day 28, dose 2MedDRA: Cough, Ear pain, Headache, Injection site pain, Oropharyngeal pain — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
- 2021-07-11
- 2021-07-18
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2021-09-05
Survey response — 3 months, dose 2MedDRA: Chest pain — Feeling: PoorFree text: I am having chest pain.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-12-05
Survey response — 6 months, dose 2MedDRA: Diarrhoea, Fatigue, Rhinorrhoea — Feeling: PoorFree text: I am currently experiencing diarrhea, extreme fatigue, runny nose.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-03 | Moderna | |
| 2 | 2021-06-06 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 1
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
Systemic reaction (other): Just pain in my arm where I recieved the shot.
Release 9 — day 14, dose 2
Symptoms: I have a cough that's lasted for two weeksI feel very drug down.
Release 9 — day 21, dose 2
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
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
Symptoms: I am having chest pain.
Release 10 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chest pain | ✓ | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Ear pain | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Blood glucose decreased | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release