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
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
-
2021-01-05
Survey response — day 7, dose 1MedDRA: Asthma, Pre-existing disease — Feeling: GoodFree 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 feverishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-20
-
2021-01-26
Survey response — day 28, dose 1MedDRA: Asthenia, Diarrhoea, Nausea, Pyrexia, Vomiting — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree 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
-
2021-01-27
Dose 2 — Moderna
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site induration, Injection site mass, Injection site swelling — Feeling: Good · Site: Pain, Redness, SwellingFree text: The swelling at the site of the injection was a big lump not just swelling and it was hardMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-02
- 2021-02-03
- 2021-02-10
-
2021-02-17
Survey response — day 21, dose 2MedDRA: 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 activitiesFree text: Admitted for pneumonia, sepsis , lactic acid of over 3. Rapid covid negative and flu negativeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — day 28, dose 2MedDRA: Hospitalisation, Pneumonia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Stayed in the hospital for a week with pneumoniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-04-28
- 2021-07-30
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Free text
Release 1 — day 7, dose 1
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
Symptoms: Nausea vomiting diarrhea low grade fever weak. It lasted 4 days.
Release 3 — days 1–6 daily, dose 2
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
Symptoms: Admitted for pneumonia, sepsis , lactic acid of over 3. Rapid covid negative and flu negative
Release 4 — day 28, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Influenza virus test negative | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pneumonia | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SD | Sepsis | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Asthma | ✓ | ✓ | ✓ |
| SRO | Injection site induration | ✓ | ✓ | ✓ |
| SRO | Injection site mass | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release