ZJU-27172-80353
3 vaccinations
9 coded responses
35 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 917 / CA
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: GoodFree text: Yesterday upset tummy better todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-26
- 2021-05-03
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2021-05-10
Survey response — day 28, dose 2MedDRA: Cough, Head discomfort, Pyrexia, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I seem to have a cold. I did one Covid test at CVS which came back negative. Stuffy head, cough, slight fever of about 99.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-17
Survey response — day 35, dose 2MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I got a cold over a week ago. I had to take the Z pack and Symbicort inhaler. seem to be doing betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
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2021-07-14
Survey response — 3 months, dose 2MedDRA: Cough, Pre-existing disease — Feeling: GoodFree text: Bad allergies. Cough.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-11
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2021-11-17
Dose 3 — Moderna
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2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-19
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2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site pruritus — Feeling: Fair · Site: ItchingFree text: Redness itching at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2021-12-01
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
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2022-02-22
Survey response — 3 months, dose 3MedDRA: Cough — Feeling: GoodFree text: Coughing for weeks but not sick or testing positiveMedDRA releases: 2024-11 · check-in free text available
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2022-05-20
Survey response — 6 months, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I got a cold and a coughMedDRA releases: 2024-11 · check-in free text available
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2022-11-17
Survey response — 12 months, dose 3MedDRA: Cystitis, Pre-existing disease, Rash pruritic, Urinary tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: UTI or bladder infection- I get them chronically but had not in a long time. And itchy bumps on skin - acute and not normal for me.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-11-17 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Stuffy nose
Systemic reaction (other): Yesterday upset tummy better today
Release 8 — day 28, dose 2
Symptoms: I seem to have a cold. I did one Covid test at CVS which came back negative. Stuffy head, cough, slight fever of about 99.
Release 8 — day 35, dose 2
Symptoms: I got a cold over a week ago. I had to take the Z pack and Symbicort inhaler. seem to be doing better
Release 9 — 3 months, dose 2
Symptoms: Bad allergies. Cough.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Redness itching at injection site
Release 11 — 3 months, dose 3
Symptoms: Coughing for weeks but not sick or testing positive
Release 11 — 6 months, dose 3
Symptoms: I got a cold and a cough
Release 12 — 12 months, dose 3
Symptoms: UTI or bladder infection- I get them chronically but had not in a long time. And itchy bumps on skin - acute and not normal for me.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Cystitis | · | · | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ○ | ○ | ○ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release