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ZG7-16258-24168

4 vaccinations 5 coded responses 26 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
910 / CA
Registered
2021-02-19
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-05
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Survey response — day 14, dose 1
    MedDRA: Chills, Headache, Pyrexia — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: I had Covid. Diagnosed 1/9/21. Bad symptoms of Fever, headache, nausea and a little diarrhea lasted about a week. I had Had the sniffles since 12/21 or so. Then I got Vaccine on 2/5. On 2/6, for 24 hours, I had 104.5 fever, chills and headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-05
    Dose 2 — Moderna
  6. 2021-03-05
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Faeces hard — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Hard stool but frequent
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Swelling
    Free text: Swollen lump that nodes in neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-02
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Back pain, Pre-existing disease, Rheumatoid arthritis — Feeling: Good
    Free text: I have rheumatoid arthritis. My doctor has reduced my pain meds and I could not take them two weeks after each shot. I have Begin to experience wowed back pain and a return of joint pain in my wrists and shoulders -sort of a return of RA symtoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-09
    Survey response — day 35, dose 2
    MedDRA: Back pain, Muscle strain, Musculoskeletal chest pain, Oral mucosal blistering — Feeling: Good
    Free text: I have an odd feeling around my back rib area-like a muscle pull. I will Mention it to my doctor. Also a blister in my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-17
    Dose 3 — Moderna
    Co-administered: Pneumonia
  22. 2021-10-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-10-29
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-12-17
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-03-04
    Dose 4 — Pfizer-BioNTech
  26. 2022-03-18
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  27. 2022-04-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-04-15
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-06-03
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-09-02
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2023-03-04
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-05Moderna
22021-03-05Moderna
32021-09-17Moderna Pneumonia
42022-03-04Pfizer-BioNTech No

Free text

Release 4 — day 14, dose 1

2021-02-19

Symptoms: I had Covid. Diagnosed 1/9/21. Bad symptoms of Fever, headache, nausea and a little diarrhea lasted about a week. I had Had the sniffles since 12/21 or so. Then I got Vaccine on 2/5. On 2/6, for 24 hours, I had 104.5 fever, chills and headache.

Release 5 — days 1–6 daily, dose 2

2021-03-06

Systemic reaction (other): Hard stool but frequent

2021-03-11

Systemic reaction (other): Swollen lump that nodes in neck

Release 6 — day 28, dose 2

2021-04-02

Symptoms: I have rheumatoid arthritis. My doctor has reduced my pain meds and I could not take them two weeks after each shot. I have Begin to experience wowed back pain and a return of joint pain in my wrists and shoulders -sort of a return of RA symtoms. cut off by CDC

Release 7 — day 35, dose 2

2021-04-09

Symptoms: I have an odd feeling around my back rib area-like a muscle pull. I will Mention it to my doctor. Also a blister in my mouth

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMuscle strain ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDOral mucosal blistering ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRheumatoid arthritis ✓ ✓ ✓
SROFaeces hard ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release