ZMD-48609-92259
5 vaccinations
7 coded responses
57 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 100 / NY
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Dose 1 — Moderna
-
2021-01-10
Registered in v-safe
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-15
- 2021-01-16
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-06
-
2021-03-13
Survey response — day 35, dose 2MedDRA: Arthralgia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Joint pain sometimes in my shoulder sometimes in my hip sometimes in my ankleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-05-08
- 2021-08-07
-
2021-10-28
Dose 3 — Moderna
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Fatigue, Gait disturbance, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: It was last night at 4:30 am ( @14 hours after the Moderna booster) that I woke up with a high fever- and took a tyelenol and ginger ale but could hardly walk so weak. Today I am much better no fever now but still a bit fatiguedMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2022-01-27
- 2022-04-28
-
2022-05-10
Dose 4 — Moderna
- 2022-05-10
-
2022-05-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
-
2022-05-12
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue, Headache — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Yesterday after my report to you I had headache and was exhausted for 5 hours then it went away. Ok todayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
-
2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Pelvic pain — Feeling: Poor · Abdominal pain · Be unable to do your normal daily activitiesFree text: Pelvic pain but had a hysterectomy years ago- no cancer- but last night woke up with pelvic painMedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
- 2022-05-16
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-08-09
- 2022-11-08
-
2022-12-01
Dose 5 — Moderna
-
2022-12-03
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-12-04
-
2022-12-05
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue — Feeling: FairFree text: TiredMedDRA releases: 2024-11 · check-in free text available
- 2022-12-06
-
2022-12-07
Survey response — days 1–6 daily, dose 5MedDRA: Injection site bruising — Feeling: GoodFree text: I still have a bruise at the injection site from 6 days agoMedDRA releases: 2024-11 · check-in free text available
-
2022-12-08
Survey response — day 7, dose 5MedDRA: Injection site bruising — Feeling: GoodFree text: Still bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-12-15
- 2022-12-22
- 2022-12-29
- 2023-01-05
- 2023-01-12
- 2023-03-02
- 2023-06-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-10-28 | Moderna | No |
| 4 | 2022-05-10 | Moderna | No |
| 5 | 2022-12-01 | Moderna | No |
Free text
Release 5 — day 35, dose 2
Symptoms: Joint pain sometimes in my shoulder sometimes in my hip sometimes in my ankle
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): It was last night at 4:30 am ( @14 hours after the Moderna booster) that I woke up with a high fever- and took a tyelenol and ginger ale but could hardly walk so weak. Today I am much better no fever now but still a bit fatigued
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Yesterday after my report to you I had headache and was exhausted for 5 hours then it went away. Ok today
Systemic reaction (other): Pelvic pain but had a hysterectomy years ago- no cancer- but last night woke up with pelvic pain
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Tired
Systemic reaction (other): I still have a bruise at the injection site from 6 days ago
Release 12 — day 7, dose 5
Systemic reaction (other): Still bruise at injection site
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Gait disturbance | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Pelvic pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release