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ZB6-33676-51903

4 vaccinations 7 coded responses 35 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
243 / VA
Registered
2021-01-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-12
    Registered in v-safe
  2. 2021-01-12
    Dose 1 — Moderna
  3. 2021-01-12
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Migraine — Feeling: Good · Headache
    Free text: I have periodic migraines and had one this evening. Probably not related to the vaccine(?).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-26
    Survey response — day 14, dose 1
    MedDRA: Migraine, Pre-existing disease — Feeling: Good
    Free text: Migraine headache on 1/23/21. However, I get periodic migraines (with visual aura), so probably not related to vaccine(?).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-09
    Dose 2 — Moderna
  14. 2021-02-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Heart rate decreased — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: I have a fitness watch. My sleeping heart rate typically runs around 57. Last night it never dropped below my avg daily resting heart rate & averaged 87.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Headache — Feeling: Good · Site: Pain · Fever · Headache, Joint pains, Fatigue or tiredness
    Free text: Headache gone by this morninghad it for 24 hours. Appetite a little off today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  21. 2021-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-09
    Survey response — day 28, dose 2
    MedDRA: Hypersensitivity, Pre-existing disease, Respiratory tract congestion — Feeling: Good
    Free text: Some chest congestion likely from allergies.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-03-16
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-23
    Survey response — day 42, dose 2
    MedDRA: Chills, Cough, Pyrexia — Feeling: Fair
    Free text: Bronchial cough, probably related to allergies. Mild fever and chills yesterday morning. Doing better today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-29
    Dose 3 — Moderna
  30. 2022-02-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-04-08
    Dose 4 — Moderna
  32. 2022-04-19
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2022-04-23
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-04-29
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-05-06
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-05-13
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-05-20
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-07-08
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-10-09
    Survey response — 6 months, dose 4
    MedDRA: COVID-19 — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Positive for COVID 9/23/22
    MedDRA releases: 2024-11 · check-in free text available
  40. 2023-04-08
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna
32021-10-29Moderna No
42022-04-08Moderna No

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): I have periodic migraines and had one this evening. Probably not related to the vaccine(?).

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Migraine headache on 1/23/21. However, I get periodic migraines (with visual aura), so probably not related to vaccine(?).

Release 4 — days 1–6 daily, dose 2

2021-02-10

Systemic reaction (other): I have a fitness watch. My sleeping heart rate typically runs around 57. Last night it never dropped below my avg daily resting heart rate & averaged 87.

2021-02-11

Systemic reaction (other): Headache gone by this morninghad it for 24 hours. Appetite a little off today.

Release 5 — day 28, dose 2

2021-03-09

Symptoms: Some chest congestion likely from allergies.

Release 6 — day 42, dose 2

2021-03-23

Symptoms: Bronchial cough, probably related to allergies. Mild fever and chills yesterday morning. Doing better today.

Release 12 — 6 months, dose 4

2022-10-09

Symptoms: Positive for COVID 9/23/22

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
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 · · ✓
SDHypersensitivity ✓ ✓ ○
SDMigraine ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHeart rate decreased ✓ ✓ ✓
SROMigraine ✓ ✓ ✓

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

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