ZFY-26086-35420
4 vaccinations
3 coded responses
46 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 752 / TX
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-07
Registered in v-safe
-
2021-01-07
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: It was on the back of my neck this morning for about an hour. I have never seen it before and don't know if it was from the vaccine are from my pillow, even though I've never seen it before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-16
- 2021-01-21
- 2021-01-28
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Gastrooesophageal reflux disease, Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Racing heart beat, intestinal discomfort and reflux last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-08-05
-
2021-08-28
Dose 3 — Moderna
- 2021-08-28
-
2021-08-29
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-08-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-31
- 2021-09-01
- 2021-09-02
- 2021-09-03
- 2021-09-04
- 2021-09-11
- 2021-09-18
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-11-27
- 2022-02-26
-
2022-06-25
Dose 4 — Moderna
- 2022-06-25
- 2022-06-26
-
2022-06-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · HeadacheAdult check-in
-
2022-06-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2022-06-29
- 2022-06-30
- 2022-07-01
-
2022-07-02
Survey response — day 7, dose 4MedDRA: Fatigue, Gastrointestinal disorder, Neck pain — Feeling: GoodFree text: I have felt back to normal since yesterday morning, however I now know that the issues I was having with my neck in pain and my intestinal track having some issues and feeling so tired every day it's because of the booster last Saturday. And the leftMedDRA releases: 2024-11 · check-in free text available
- 2022-07-09
- 2022-07-16
- 2022-07-23
- 2022-12-24
- 2023-06-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-08-28 | Moderna | No |
| 4 | 2022-06-25 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): It was on the back of my neck this morning for about an hour. I have never seen it before and don't know if it was from the vaccine are from my pillow, even though I've never seen it before.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Racing heart beat, intestinal discomfort and reflux last night
Release 12 — day 7, dose 4
Systemic reaction (other): I have felt back to normal since yesterday morning, however I now know that the issues I was having with my neck in pain and my intestinal track having some issues and feeling so tired every day it's because of the booster last Saturday. And the left cut off by CDC
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 |
|---|---|---|---|---|
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Gastrointestinal disorder | · | · | ✓ |
| SRO | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release