ZGX-23753-25300
4 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 940 / CA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
TPP-26916-03768
Child or adolescent in my care · Female · 2021-11-24
Timeline
-
2021-01-16
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
-
2021-01-30
Survey response — day 14, dose 1MedDRA: Fatigue, Feeling abnormal, Injection site erythema, Injection site pruritus, Injection site swelling, Somnolence — Feeling: GoodFree text: On 1/24/21, I noticed increased redness, mildly bumpy area around the injection site. Mildly itchy as well. No other local or general symptoms. Since 1/28/21, I have felt more fatigued overall, with some brain fog, and sleep more hours than usuMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
-
2021-02-09
Dose 2 — Moderna
- 2021-02-13
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Influenza like illness, Insomnia, Pain, Self-medication — Feeling: Good · Fatigue or tirednessFree text: I *did* experience a headache, chills, mild achiness for 36 hours post injection (starting abt 8 hours after injection). Injection on Tues, slept terribly that night, took 500mg Tylenol at 2:30, mild flu-like symptoms Wednesday, slept well, felt GREAT Thursday and since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
- 2021-02-16
- 2021-02-23
- 2021-03-04
- 2021-03-11
- 2021-03-17
- 2021-03-23
- 2021-05-11
- 2021-08-10
-
2021-12-01
Dose 3 — Moderna
- 2021-12-20
-
2021-12-22
Survey response — day 21, dose 3MedDRA: Headache, Nasal congestion, Nasopharyngitis, SARS-CoV-2 test negative, Throat irritation — Feeling: GoodFree text: Cold-like symptoms nasal congestion, scratchy throat, headache, NO fever nor body aches). Was COVID tested AFTER symptoms appearedcame back negative. Symptoms are now resolving quickly.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-29
- 2022-01-08
- 2022-01-12
- 2022-03-06
-
2022-10-18
Dose 4 — Pfizer-BioNTech
- 2022-11-02
- 2022-11-13
- 2022-11-20
- 2022-11-22
- 2022-11-29
- 2023-01-17
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-09 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-10-18 | Pfizer-BioNTech | No |
Free text
Release 3 — day 14, dose 1
Symptoms: On 1/24/21, I noticed increased redness, mildly bumpy area around the injection site. Mildly itchy as well. No other local or general symptoms. Since 1/28/21, I have felt more fatigued overall, with some brain fog, and sleep more hours than usu
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I *did* experience a headache, chills, mild achiness for 36 hours post injection (starting abt 8 hours after injection). Injection on Tues, slept terribly that night, took 500mg Tylenol at 2:30, mild flu-like symptoms Wednesday, slept well, felt GREAT Thursday and since.
Release 10 — day 21, dose 3
Symptoms: Cold-like symptoms nasal congestion, scratchy throat, headache, NO fever nor body aches). Was COVID tested AFTER symptoms appearedcame back negative. Symptoms are now resolving quickly.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Somnolence | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release