ZBM-15028-92903
2 vaccinations
7 coded responses
22 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 939 / CA
- Registered
- 2020-12-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Registered in v-safe
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2020-12-29
Dose 1 — Moderna
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2020-12-29
Survey response — day 0, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Very slight HA. Lasting only 30 minutes or less.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2020-12-31
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2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: Good · Fatigue or tirednessFree text: Took a nap today normally don't do that. Don't know if it had anything to do with the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-03
- 2021-01-04
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2021-01-06
Survey response — day 7, dose 1MedDRA: Occupational exposure to SARS-CoV-2 — Feeling: Good · HeadacheFree text: Was just told I was exposed to COVID-19 on Monday 1-4-21 from one of my patients. Was wearing my PPE's.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
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2021-01-19
Survey response — day 21, dose 1MedDRA: Eye infection — Feeling: GoodFree text: Eye infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Dose 2 — Moderna
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2021-01-26
Survey response — day 0, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Tired probably because I am also moving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
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2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Joint pains, Fatigue or tirednessAdult check-in
- 2021-01-31
- 2021-02-01
- 2021-02-04
- 2021-02-11
- 2021-02-16
- 2021-02-26
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2021-03-02
Survey response — day 35, dose 2MedDRA: Fatigue, Headache, Nausea — Feeling: FairFree text: Last couple days have had a HA and slightly nauseous in the morning. Tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
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2021-07-29
Survey response — 6 months, dose 2MedDRA: Influenza like illness, Pyrexia, SARS-CoV-2 test negative, Vitreous floaters — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Flu like symptoms for 48 hours with a fever of 101. Took a Covid test negative. Fever broke then I started with go symptoms. This was about 1 month ago. Currently have eye floater in my left eye.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Very slight HA. Lasting only 30 minutes or less.
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Took a nap today normally don't do that. Don't know if it had anything to do with the shot.
Release 1 — day 7, dose 1
Systemic reaction (other): Was just told I was exposed to COVID-19 on Monday 1-4-21 from one of my patients. Was wearing my PPE's.
Release 2 — day 21, dose 1
Symptoms: Eye infection.
Release 2 — day 0, dose 2
Systemic reaction (other): Tired probably because I am also moving.
Release 4 — day 35, dose 2
Symptoms: Last couple days have had a HA and slightly nauseous in the morning. Tired.
Release 9 — 6 months, dose 2
Symptoms: Flu like symptoms for 48 hours with a fever of 101. Took a Covid test negative. Fever broke then I started with go symptoms. This was about 1 month ago. Currently have eye floater in my left eye.
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 | Eye infection | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Vitreous floaters | ✓ | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Occupational exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release