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ZLZ-25147-94257

4 vaccinations 4 coded responses 34 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
857 / AZ
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-25
    Dose 2 — Moderna
  12. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Good
    Free text: Last evening I had chills for a short time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-24
    Dose 3 — Moderna
  27. 2021-08-26
    Survey response — 6 months, dose 2
    MedDRA: Chills, Dizziness, Headache, Mobility decreased, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: I dont know how to answer since I just had a booster shot day before yesterday and this time I got quite sick whereas the last two shots had no side affects. I got chills, fever, aching body and head, dizziness. I was in bed day and a half.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-11-23
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-02-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-04-22
    Dose 4 — Moderna
  31. 2022-04-23
    Survey response — days 1–6 daily, dose 4
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  34. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-04-30
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-13
    Survey response — day 21, dose 4
    MedDRA: Urinary tract infection — Feeling: Good
    Free text: I have had recurring uti problems for all of the time Covid has been out there, approximately 2 years, and has not resolved with various antibiotics. Have been on maintenance antibiotics but infection breaks through.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-05-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-08-24Moderna No
42022-04-22Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Last evening I had chills for a short time.

Release 9 — 6 months, dose 2

2021-08-26

Symptoms: I dont know how to answer since I just had a booster shot day before yesterday and this time I got quite sick whereas the last two shots had no side affects. I got chills, fever, aching body and head, dizziness. I was in bed day and a half.

Release 11 — days 1–6 daily, dose 4

2022-04-23

Systemic reaction (other): Dizziness

Release 11 — day 21, dose 4

2022-05-13

Symptoms: I have had recurring uti problems for all of the time Covid has been out there, approximately 2 years, and has not resolved with various antibiotics. Have been on maintenance antibiotics but infection breaks through.

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
SDChills ✓ · ✓
SDDizziness ✓ · ✓
SDHeadache ✓ · ✓
SDMobility decreased ✓ · ✓
SDPain ✓ · ✓
SDPyrexia ✓ · ✓
SDUrinary tract infection · · ✓
SROChills ✓ ✓ ✓
SRODizziness · · ✓

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