ZNZ-27441-10416
5 vaccinations
4 coded responses
65 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 853 / AZ
- Registered
- 2021-05-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-16
Dose 1 — Moderna
-
2021-05-17
Registered in v-safe
- 2021-05-17
-
2021-05-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-19
-
2021-05-20
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · DiarrheaFree text: Diarrhea yesterday, too. Forgot to report it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-22
- 2021-05-23
- 2021-05-30
- 2021-06-06
-
2021-06-10
Dose 2 — Moderna
- 2021-06-10
-
2021-06-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-06-12
- 2021-06-13
- 2021-06-14
- 2021-06-15
- 2021-06-17
- 2021-06-24
- 2021-07-01
- 2021-07-08
- 2021-07-15
- 2021-07-22
- 2021-09-09
- 2021-12-09
-
2021-12-16
Dose 3 — Moderna
-
2021-12-17
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-18
- 2021-12-19
- 2021-12-20
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Fatigue and tiredness every day since the shot.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-22
-
2021-12-23
Survey response — day 7, dose 3MedDRA: Fatigue, Nausea — Feeling: Good · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Fatigue and nausea every day since shot. I had not made an association until now. Just lingering.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-01-27
- 2022-03-17
-
2022-05-17
Dose 4 — Moderna
- 2022-05-17
-
2022-05-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-05-19
- 2022-05-20
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-24
- 2022-05-31
- 2022-06-07
-
2022-06-14
Survey response — day 28, dose 4MedDRA: Photopsia, Vision blurred, Vitreous floaters — Feeling: GoodFree text: Right eye had a rapid onset of large blurring floater(s). Blurring seems to move from periphery to inner corner, then back out Occasional flashing at periphery. This has been about one month. Continues. No eye doc seen, yet.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-21
- 2022-06-28
- 2022-08-16
-
2022-10-07
Dose 5 — Moderna
-
2022-10-07
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-16 | Moderna | |
| 2 | 2021-06-10 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-05-17 | Moderna | No |
| 5 | 2022-10-07 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Diarrhea yesterday, too. Forgot to report it.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fatigue and tiredness every day since the shot.
Release 10 — day 7, dose 3
Systemic reaction (other): Fatigue and nausea every day since shot. I had not made an association until now. Just lingering.
Release 12 — day 28, dose 4
Symptoms: Right eye had a rapid onset of large blurring floater(s). Blurring seems to move from periphery to inner corner, then back out Occasional flashing at periphery. This has been about one month. Continues. No eye doc seen, yet.
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 | Photopsia | · | · | ✓ |
| SD | Vision blurred | · | · | ✓ |
| SD | Vitreous floaters | · | · | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release