ZHZ-27602-46505
3 vaccinations
5 coded responses
35 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 604 / IL
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
W37-16059-38373
Adult relative or friend · Male · 2021-11-02
656-29973-19320
Child or adolescent in my care · Male · 2022-05-18
Timeline
-
2021-02-03
Dose 1 — Moderna
-
2021-02-08
Registered in v-safe
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Loss of personal independence in daily activities, Neck pain, Pain, Pain in extremity — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Symptoms started on day 3. Nothing before day 3. The symptoms prevented me from performing my daily activities. I could not lift my arm without pain. I also had pain on the left side of my neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-05-31
-
2021-08-30
Survey response — 6 months, dose 2MedDRA: Nasal dryness, Upper-airway cough syndrome — Feeling: GoodFree text: Just a mild mucous feeling in my throat with a dry nose.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-02
Dose 3 — ModernaCo-administered: Flu
-
2021-11-02
Survey response — day 0, dose 3MedDRA: Skin tightness, Throat tightness — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sort of a mild tightness at the base of my nostrils and throat.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body achesAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
-
2022-02-01
Survey response — 3 months, dose 3MedDRA: Dyspnoea, Increased upper airway secretion, Increased viscosity of upper respiratory secretion, Productive cough, Sputum discoloured, Wheezing — Feeling: GoodFree text: Mild symptoms. For the past week, I have been waking up with colored phlem in my throat. It's enough to make is slightly difficult to inhale and exhale without a slight rattle. Once I cough it up my ai It's very dense. The phlem is very thick.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-03
Survey response — 6 months, dose 3MedDRA: Chills, Eye pain, Headache, Pain, Rhinorrhoea, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Ache, slight headache, eye socket pain with slight mucous in nasal passage. Had chills for two days. Saw some relief with one dose of Ibuprofen.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-11-02 | Moderna | Flu |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Symptoms started on day 3. Nothing before day 3. The symptoms prevented me from performing my daily activities. I could not lift my arm without pain. I also had pain on the left side of my neck.
Release 9 — 6 months, dose 2
Symptoms: Just a mild mucous feeling in my throat with a dry nose.
Release 10 — day 0, dose 3
Systemic reaction (other): Sort of a mild tightness at the base of my nostrils and throat.
Release 11 — 3 months, dose 3
Symptoms: Mild symptoms. For the past week, I have been waking up with colored phlem in my throat. It's enough to make is slightly difficult to inhale and exhale without a slight rattle. Once I cough it up my ai It's very dense. The phlem is very thick.
Release 11 — 6 months, dose 3
Symptoms: Ache, slight headache, eye socket pain with slight mucous in nasal passage. Had chills for two days. Saw some relief with one dose of Ibuprofen.
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 | Chills | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Increased viscosity of upper respiratory secretion | · | · | ✓ |
| SD | Nasal dryness | ✓ | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sputum discoloured | · | · | ✓ |
| SD | Upper-airway cough syndrome | ✓ | · | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Loss of personal independence in daily activities | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Skin tightness | · | · | ✓ |
| SRO | Throat tightness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release