ZCS-12995-35592
4 vaccinations
5 coded responses
32 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 974 / OR
- Registered
- 2021-04-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Registered in v-safe
-
2021-04-10
Dose 1 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness · Headache, DiarrheaAdult check-in
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-18
-
2021-04-24
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Paranasal sinus discomfort, Rhinorrhoea, Somnolence — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Sinus pressure and clear nasal discharge and headache and extreme fatigue (sleepy) 4/20 7pm until 4/21 4pm. This was after spending the weekend before with 20-month old niece who had same symptoms. I got it from her.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
-
2021-05-08
Dose 2 — Moderna
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-06-13
- 2021-06-19
- 2021-08-07
-
2021-11-08
Survey response — 6 months, dose 2MedDRA: Asthenia, Hypersomnia, Malaise, Pain, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: During the night of October 17 I woke up violently ill and vomited about 10 times in 3 hours. Fever 101.5 and slept all day and night. Fever broke Oct 18. Weak and sore several daysMedDRA releases: 2024-11 · check-in free text available
-
2022-03-04
Dose 3 — Moderna
- 2022-05-10
-
2022-10-04
Dose 4 — Moderna
-
2022-10-05
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-10
- 2022-10-11
- 2022-10-18
-
2022-10-25
Survey response — day 21, dose 4MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, sore throat, nasal congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
-
2022-11-08
Survey response — day 35, dose 4MedDRA: Body temperature increased, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: 24 hour reaction to Shingles vaccine: tired, fever 99.1, went to work, but took a three hour napMedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2023-01-03
-
2023-04-04
Survey response — 6 months, dose 4MedDRA: Axillary pain, Back pain, Neck pain, Toothache — Feeling: Fair · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna | |
| 3 | 2022-03-04 | Moderna | No |
| 4 | 2022-10-04 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: Sinus pressure and clear nasal discharge and headache and extreme fatigue (sleepy) 4/20 7pm until 4/21 4pm. This was after spending the weekend before with 20-month old niece who had same symptoms. I got it from her.
Release 10 — 6 months, dose 2
Symptoms: During the night of October 17 I woke up violently ill and vomited about 10 times in 3 hours. Fever 101.5 and slept all day and night. Fever broke Oct 18. Weak and sore several days
Release 12 — day 21, dose 4
Symptoms: Cough, sore throat, nasal congestion
Release 12 — day 35, dose 4
Symptoms: 24 hour reaction to Shingles vaccine: tired, fever 99.1, went to work, but took a three hour nap
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 | Asthenia | · | · | ✓ |
| SD | Axillary pain | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Neck pain | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Toothache | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release