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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

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Survey response — day 0, dose 1
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Very slight HA. Lasting only 30 minutes or less.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Somnolence — Feeling: Good · Fatigue or tiredness
    Free 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
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-06
    Survey response — day 7, dose 1
    MedDRA: Occupational exposure to SARS-CoV-2 — Feeling: Good · Headache
    Free 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
  10. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-19
    Survey response — day 21, dose 1
    MedDRA: Eye infection — Feeling: Good
    Free text: Eye infection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-01-26
    Dose 2 — Moderna
  13. 2021-01-26
    Survey response — day 0, dose 2
    MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Tired probably because I am also moving.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tiredness
    Adult check-in
  15. 2021-01-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  16. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Joint pains, Fatigue or tiredness
    Adult check-in
  17. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-02
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Headache, Nausea — Feeling: Fair
    Free 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
  24. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-29
    Survey response — 6 months, dose 2
    MedDRA: 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 activities
    Free 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

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna

Free text

Release 1 — day 0, dose 1

2020-12-29

Systemic reaction (other): Very slight HA. Lasting only 30 minutes or less.

Release 1 — days 1–6 daily, dose 1

2021-01-01

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

2021-01-06

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

2021-01-19

Symptoms: Eye infection.

Release 2 — day 0, dose 2

2021-01-26

Systemic reaction (other): Tired probably because I am also moving.

Release 4 — day 35, dose 2

2021-03-02

Symptoms: Last couple days have had a HA and slightly nauseous in the morning. Tired.

Release 9 — 6 months, dose 2

2021-07-29

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

FieldPreferred term2021-092023-042024-11
SDEye infection ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInfluenza like illness ✓ · ✓
SDNausea ✓ ✓ ✓
SDPyrexia ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDVitreous floaters ✓ · ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROOccupational exposure to SARS-CoV-2 ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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