ZC2-26990-72552
4 vaccinations
12 coded responses
46 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 060 / CT
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-01
Dose 1 — Moderna
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2021-03-02
Registered in v-safe
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea, Influenza like illness — Feeling: Poor · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaFree text: Loose bowels, mild flu like symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Influenza like illness — Feeling: Fair · Site: PainFree text: Flu like symptoms are starting to subside. Feel better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
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2021-03-15
Survey response — day 14, dose 1MedDRA: Injection site discolouration — Feeling: GoodFree text: Had deep purple darkening several inches below the injection site, right arm, near elbow seven days after first vaccine. About 5 round. Have photo if you want it. Lasted four days, then it was gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
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2021-03-31
Dose 2 — Moderna
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Please note these symptoms were from 4/1/21. We didnt get the survey until today. Much better today 4/3/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Fair · Chills, Headache, Fatigue or tirednessFree text: Feel a bit foggy still.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-04-06
- 2021-04-07
- 2021-04-15
- 2021-04-21
- 2021-04-29
- 2021-05-05
- 2021-05-13
- 2021-07-01
- 2021-09-30
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2021-11-19
Dose 3 — Moderna
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2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
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2022-02-18
Survey response — 3 months, dose 3MedDRA: COVID-19, Gastrointestinal disorder, Nausea — Feeling: FairFree text: After the Covid Omicron infection I have had on and off stomach issues. My husband and daughter as well. I have had nausea, my husband blotting/gas. It's not consistent as mentioned. Not something we have ever experienced under normal conditionsMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — 6 months, dose 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, SARS-CoV-2 test negative, Vertigo — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Had Vertigo for a few weeks, then mild congestion, cold like symptoms and a slight cough for three days. Tested Negative for Covid. Feeling much better now. Thank you for checking.MedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Dose 4 — Moderna
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2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-30
Survey response — days 1–6 daily, dose 4MedDRA: Hyperhidrosis — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, NauseaFree text: SweatyMedDRA releases: 2024-11 · check-in free text available
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2022-10-31
Survey response — days 1–6 daily, dose 4MedDRA: Anosmia, Dyspnoea, Hyperhidrosis — Feeling: Good · Fatigue or tirednessFree text: Still a little short of breath and sweaty. I did loose my sense of smell for approximately 48 hours, but got it back.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-04
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2022-11-11
Survey response — day 14, dose 4MedDRA: Dyspnoea — Feeling: GoodFree text: I did experience shortness of breath for a few days after the shot. Lasted a few days. Wasn't bad though.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-18
- 2022-11-27
- 2022-12-02
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2022-12-09
Survey response — day 42, dose 4MedDRA: COVID-19, Office visit, Vertigo — Feeling: GoodFree text: I have developed a kind of vertigo. Dr says it could be linked to Covid or the vaccine. My husband also developed it after his last booster. Could be unrelated and could be from Covid which we both had in January.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-01 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-10-28 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Loose bowels, mild flu like symptoms
Systemic reaction (other): Flu like symptoms are starting to subside. Feel better today.
Release 5 — day 14, dose 1
Symptoms: Had deep purple darkening several inches below the injection site, right arm, near elbow seven days after first vaccine. About 5 round. Have photo if you want it. Lasted four days, then it was gone.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Please note these symptoms were from 4/1/21. We didnt get the survey until today. Much better today 4/3/21.
Systemic reaction (other): Feel a bit foggy still.
Release 11 — 3 months, dose 3
Symptoms: After the Covid Omicron infection I have had on and off stomach issues. My husband and daughter as well. I have had nausea, my husband blotting/gas. It's not consistent as mentioned. Not something we have ever experienced under normal conditions cut off by CDC
Release 11 — 6 months, dose 3
Symptoms: Had Vertigo for a few weeks, then mild congestion, cold like symptoms and a slight cough for three days. Tested Negative for Covid. Feeling much better now. Thank you for checking.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Sweaty
Systemic reaction (other): Still a little short of breath and sweaty. I did loose my sense of smell for approximately 48 hours, but got it back.
Release 12 — day 14, dose 4
Symptoms: I did experience shortness of breath for a few days after the shot. Lasted a few days. Wasn't bad though.
Release 12 — day 42, dose 4
Symptoms: I have developed a kind of vertigo. Dr says it could be linked to Covid or the vaccine. My husband also developed it after his last booster. Could be unrelated and could be from Covid which we both had in January.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Injection site discolouration | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vertigo | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Anosmia | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release