ZKA-32761-90435
5 vaccinations
11 coded responses
54 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 194 / PA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-15
Registered in v-safe
-
2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-20
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Headache — Feeling: Poor · Site: Pain, Swelling · Fever · Fatigue or tiredness, NauseaFree text: Slight headache and a little woozinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Pyrexia — Feeling: Fair · Site: Pain · HeadacheFree text: Fever last night, lightheadednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Felt a little lightheaded at one point.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-10-23
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Hypersomnia, Pain — Feeling: Good · Site: Redness, SwellingFree text: On 10/24 I had severe chills, fever of 101.?, severe acheyness, and fatigue - I slept all day. On 10/25 I still had some fatigue and acheyness.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Dry mouth — Feeling: Good · Site: Redness, SwellingFree text: Dry mouth, dry coughMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Cough — Feeling: Good · Site: Redness, SwellingFree text: Dry coughMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
-
2021-10-30
Survey response — day 7, dose 3MedDRA: Cough — Feeling: Good · Site: RednessFree text: I continue to have a dry cough, although not constant.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-07-16
Dose 4 — Moderna
-
2022-07-18
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Fatigue — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessFree text: Yesterday: extreme fatigue and chillsMedDRA releases: 2024-11 · check-in free text available
-
2022-07-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2022-07-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2022-07-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-07-22
- 2022-07-23
-
2022-07-30
Survey response — day 14, dose 4MedDRA: Chest discomfort, Cough — Feeling: GoodFree text: Dry cough and tightness in chestMedDRA releases: 2024-11 · check-in free text available
- 2022-08-06
- 2022-08-13
- 2022-08-21
- 2022-08-27
-
2022-10-15
Survey response — 3 months, dose 4MedDRA: Back pain, Mobility decreased — Feeling: FairFree text: Low back pain - difficult with moving and doing thingsMedDRA releases: 2024-11 · check-in free text available
- 2023-01-16
-
2023-04-01
Dose 5 — Moderna
-
2023-04-12
Survey response — day 7, dose 5MedDRA: Fatigue, Injection site pain, Pain — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-17
- 2023-04-22
- 2023-04-29
- 2023-05-06
- 2023-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-07-16 | Moderna | No |
| 5 | 2023-04-01 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Slight headache and a little wooziness
Systemic reaction (other): Fever last night, lightheadedness
Systemic reaction (other): Felt a little lightheaded at one point.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On 10/24 I had severe chills, fever of 101.?, severe acheyness, and fatigue - I slept all day. On 10/25 I still had some fatigue and acheyness.
Systemic reaction (other): Dry mouth, dry cough
Systemic reaction (other): Dry cough
Release 10 — day 7, dose 3
Systemic reaction (other): I continue to have a dry cough, although not constant.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday: extreme fatigue and chills
Release 12 — day 14, dose 4
Symptoms: Dry cough and tightness in chest
Release 12 — 3 months, dose 4
Symptoms: Low back pain - difficult with moving and doing things
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 | Back pain | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dry mouth | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release