ZM9-29520-13141
3 vaccinations
6 coded responses
19 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 891 / NV
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
- 2021-02-02
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2021-02-09
Survey response — day 21, dose 1MedDRA: Ophthalmic migraine — Feeling: GoodFree text: I just like my husband had seen diamonds that went only to the left! Thought I was having a eye problem but went away after 15 minutes! We cant get a appointment for our second shot can u help?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Dose 2 — Moderna
- 2021-02-16
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2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My toes are feeling numbMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 2MedDRA: Toothache — Feeling: Good · Be unable to do your normal daily activitiesFree text: All my teeth hurtMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
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2021-08-17
Survey response — 6 months, dose 2MedDRA: Brain fog, Diarrhoea, Influenza, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Feeling like I have the flu! It comes about twice a week! All my whole body hurts! Never felt like his in my entire life! Have diarrhea when I feel this way! Fell like I am also in a brain fog!MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-28
Dose 3 — Moderna
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2021-08-30
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Flatulence — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, gasMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-31
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Flatulence — Feeling: Good · Site: Swelling, Itching · Fatigue or tirednessFree text: Coughing gasMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-01
- 2021-09-02
- 2021-09-03
- 2021-09-04
- 2021-09-11
- 2021-09-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-08-28 | Moderna | No |
Free text
Release 3 — day 21, dose 1
Symptoms: I just like my husband had seen diamonds that went only to the left! Thought I was having a eye problem but went away after 15 minutes! We cant get a appointment for our second shot can u help?
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My toes are feeling numb
Systemic reaction (other): All my teeth hurt
Release 9 — 6 months, dose 2
Symptoms: Feeling like I have the flu! It comes about twice a week! All my whole body hurts! Never felt like his in my entire life! Have diarrhea when I feel this way! Fell like I am also in a brain fog!
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Cough, gas
Systemic reaction (other): Coughing gas
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 | Brain fog | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Influenza | ✓ | · | ✓ |
| SD | Ophthalmic migraine | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SRO | Cough | ✓ | · | ✓ |
| SRO | Flatulence | ✓ | · | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Toothache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release