ZEV-24237-87266
5 vaccinations
7 coded responses
37 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 018 / MA
- Registered
- 2021-04-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-19
Dose 1 — Moderna
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2021-04-21
Registered in v-safe
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-04-23
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2021-04-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
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2021-05-22
Dose 2 — Moderna
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2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-05-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
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2021-05-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness, DiarrheaFree text: I have been feeling dizzy or light headed!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-28
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2021-05-29
Survey response — day 7, dose 2MedDRA: Depression — Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Very depressed, but it has a lot to do with losing my Fiancee one year ago May 20th, exactly one month before our Wedding!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-05
- 2021-06-12
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2021-06-19
Survey response — day 28, dose 2MedDRA: Blood pressure increased, Diarrhoea, Dizziness, Feeling abnormal, Nausea, Paraesthesia — Feeling: GoodFree text: My bp has been higher than usual, and Monday & Tuesday I became sick to my stomach. Felt like I was going to pass out, but didn't. Just felt strange, like I had some tingling in my face all day Monday. Also had diarrhea both days. Fell better now!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-26
Survey response — day 35, dose 2MedDRA: Dizziness, Hypertension, Nausea, Palpitations — Feeling: FairFree text: Most of the week I would feel sick to my stomach, very dizzy, and I actually felt like my heart was racing. My BP was high also!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-03
- 2021-08-21
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2021-11-20
Survey response — 6 months, dose 2MedDRA: Eye disorder, Fatigue, Insomnia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I don't sleep through the night, and I've had weird things going on with my left eye... Along with Always feeling Exhausted! I am at work, so please don't call me! TYMedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Dose 3 — Moderna
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2022-05-22
Survey response — 12 months, dose 2MedDRA: Dizziness, Fatigue, Nausea, Palpitations — Feeling: GoodFree text: Feeling sick to stomach, feeling a racing heart beat, feeling lightheaded and fatigue!MedDRA releases: 2024-11 · check-in free text available
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2022-06-13
Dose 4 — Moderna
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2022-11-05
Dose 5 — Moderna
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2022-11-06
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain, Swelling · 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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2022-11-07
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-08
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2022-11-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-11-10
- 2022-11-11
- 2022-11-12
- 2022-11-19
- 2022-11-26
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2022-12-03
Survey response — day 28, dose 5MedDRA: Arthritis, Muscle disorder — Feeling: Poor · Be unable to work or attend schoolFree text: Don't think it has anything to do with the booster. Just have a lot of arthritis problems, along with muscle problems!MedDRA releases: 2024-11 · check-in free text available
- 2022-12-10
- 2022-12-17
- 2023-02-04
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna | |
| 2 | 2021-05-22 | Moderna | |
| 3 | 2021-12-13 | Moderna | No |
| 4 | 2022-06-13 | Moderna | No |
| 5 | 2022-11-05 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I have been feeling dizzy or light headed!
Release 8 — day 7, dose 2
Systemic reaction (other): Very depressed, but it has a lot to do with losing my Fiancee one year ago May 20th, exactly one month before our Wedding!
Release 9 — day 28, dose 2
Symptoms: My bp has been higher than usual, and Monday & Tuesday I became sick to my stomach. Felt like I was going to pass out, but didn't. Just felt strange, like I had some tingling in my face all day Monday. Also had diarrhea both days. Fell better now!
Release 9 — day 35, dose 2
Symptoms: Most of the week I would feel sick to my stomach, very dizzy, and I actually felt like my heart was racing. My BP was high also!
Release 10 — 6 months, dose 2
Symptoms: I don't sleep through the night, and I've had weird things going on with my left eye... Along with Always feeling Exhausted! I am at work, so please don't call me! TY
Release 11 — 12 months, dose 2
Symptoms: Feeling sick to stomach, feeling a racing heart beat, feeling lightheaded and fatigue!
Release 12 — day 28, dose 5
Symptoms: Don't think it has anything to do with the booster. Just have a lot of arthritis problems, along with muscle problems!
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 | Arthritis | · | · | ✓ |
| SD | Blood pressure increased | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Eye disorder | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Hypertension | ✓ | ✓ | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Muscle disorder | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Palpitations | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release