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ZL2-56815-34649

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
779 / TX
Registered
2020-12-29
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · None
    Adult check-in
  5. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-05
    Survey response — day 7, dose 1
    MedDRA: Asthma, Pre-existing disease — Feeling: Good
    Free text: My asthma has flared up, but it's suppose to rain tomorrow so maybe thats what caused it. I don't feel achy or feverish
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-26
    Survey response — day 28, dose 1
    MedDRA: Asthenia, Diarrhoea, Nausea, Pyrexia, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Nausea vomiting diarrhea low grade fever weak. It lasted 4 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-27
    Dose 2 — Moderna
  15. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site induration, Injection site mass, Injection site swelling — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: The swelling at the site of the injection was a big lump not just swelling and it was hard
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  17. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  18. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  19. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-17
    Survey response — day 21, dose 2
    MedDRA: Hospitalisation, Influenza virus test negative, Pneumonia, SARS-CoV-2 test negative, Sepsis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Admitted for pneumonia, sepsis , lactic acid of over 3. Rapid covid negative and flu negative
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-26
    Survey response — day 28, dose 2
    MedDRA: Hospitalisation, Pneumonia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Stayed in the hospital for a week with pneumonia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-30
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-01-27
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-27Moderna

Free text

Release 1 — day 7, dose 1

2021-01-05

Systemic reaction (other): My asthma has flared up, but it's suppose to rain tomorrow so maybe thats what caused it. I don't feel achy or feverish

Release 2 — day 28, dose 1

2021-01-26

Symptoms: Nausea vomiting diarrhea low grade fever weak. It lasted 4 days.

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): The swelling at the site of the injection was a big lump not just swelling and it was hard

Release 4 — day 21, dose 2

2021-02-17

Symptoms: Admitted for pneumonia, sepsis , lactic acid of over 3. Rapid covid negative and flu negative

Release 4 — day 28, dose 2

2021-02-26

Symptoms: Stayed in the hospital for a week with pneumonia

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
SDAsthenia ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDHospitalisation ✓ ✓ ✓
SDInfluenza virus test negative ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPneumonia ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSepsis ✓ ✓ ✓
SDVomiting ✓ ✓ ✓
SROAsthma ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site mass ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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