ZC4-15665-77864
4 vaccinations
8 coded responses
51 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 908 / CA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Product administered at inappropriate site — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Arm so sore I have to use my other arm to help move it. I think they put the shot too high up on my shoulder & not arm muscleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-20
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
-
2021-04-02
Survey response — day 0, dose 2MedDRA: Dizziness — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Very slightly light headedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain, Pyrexia — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Last night after reported, fever came back worse, went to 102.4 bad body aches, chills. Had already filled out report by then.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-11-05
Dose 3 — Moderna
-
2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
-
2021-12-17
Survey response — day 42, dose 3MedDRA: Headache, Nasopharyngitis, Pre-existing disease, Rhinorrhoea, Sneezing, Throat irritation — Feeling: GoodFree text: Head ache, runny nose, sneezing, scratchy throat. Either allergies or slight cold. Lasted 2 days. Took a rapid test, was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-04
- 2022-05-06
-
2022-10-14
Dose 4 — Moderna
- 2022-10-16
- 2022-10-17
-
2022-10-18
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Rhinorrhoea — Feeling: FairFree text: Runny nose, coughing.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-19
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · FeverFree text: Have a cold, cough, runny nose, congestionMedDRA releases: 2024-11 · check-in free text available
-
2022-10-20
Survey response — days 1–6 daily, dose 4MedDRA: Cough, Productive cough — Feeling: FairFree text: Coughing, phlegmMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Survey response — day 7, dose 4MedDRA: Cough, Malaise — Feeling: GoodFree text: Still coughing, but that's due to getting sick right afterMedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-10-14 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Arm so sore I have to use my other arm to help move it. I think they put the shot too high up on my shoulder & not arm muscle
Release 6 — day 0, dose 2
Systemic reaction (other): Very slightly light headed
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Last night after reported, fever came back worse, went to 102.4 bad body aches, chills. Had already filled out report by then.
Release 10 — day 42, dose 3
Symptoms: Head ache, runny nose, sneezing, scratchy throat. Either allergies or slight cold. Lasted 2 days. Took a rapid test, was negative.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Runny nose, coughing.
Systemic reaction (other): Have a cold, cough, runny nose, congestion
Systemic reaction (other): Coughing, phlegm
Release 12 — day 7, dose 4
Systemic reaction (other): Still coughing, but that's due to getting sick right after
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 | Headache | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Product administered at inappropriate site | ✓ | ✓ | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release