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ZGV-28336-26256

3 vaccinations 4 coded responses 25 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
985 / WA
Registered
2021-04-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-22
    Registered in v-safe
  2. 2021-04-22
    Dose 1 — Moderna
  3. 2021-04-22
    Survey response — day 0, dose 1
    MedDRA: Dyspnoea, Hypoaesthesia, Palpitations — Feeling: Poor · Headache · Be unable to do your normal daily activities
    Free text: Shortness of breath, racing heart, facial numbness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea, Heart rate increased, Palpitations — Feeling: Fair · Site: Swelling · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Shortness of breath, racing heart rate/pulse
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal pain
    Adult check-in
  6. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Abdominal pain
    Adult check-in
  7. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-04-29
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-05-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-20
    Dose 2 — Moderna
  14. 2021-05-20
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Nausea
    Adult check-in
  17. 2021-05-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Fair · Nausea
    Free text: Loss of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Good
    Free text: Loss of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-11-26
    Dose 3 — Moderna
  22. 2021-11-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  23. 2021-11-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Joint pains
    Adult check-in
  24. 2021-11-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  25. 2021-11-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2021-12-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-12-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-12-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-22Moderna
22021-05-20Moderna
32021-11-26Moderna No

Free text

Release 7 — day 0, dose 1

2021-04-22

Systemic reaction (other): Shortness of breath, racing heart, facial numbness

Release 7 — days 1–6 daily, dose 1

2021-04-23

Systemic reaction (other): Shortness of breath, racing heart rate/pulse

Release 8 — days 1–6 daily, dose 2

2021-05-23

Systemic reaction (other): Loss of appetite

2021-05-24

Systemic reaction (other): Loss of appetite

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
SRODecreased appetite ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓

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

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