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ZPX-25914-71606

4 vaccinations 10 coded responses 39 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
460 / IN
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Survey response — day 0, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Fatigue or tiredness
    Free text: Possible early bladder infection no fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Urinary tract pain — Feeling: Good
    Free text: Still urinary tract burning pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Abdominal pain
    Free text: Probable UTI
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-02-04
    Survey response — day 7, dose 1
    MedDRA: Dizziness, Headache — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Lightheadedness, slight occasional headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-25
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-03
    Dose 2 — Moderna
  14. 2021-03-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches
    Free text: Slight nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fever · Headache, Nausea
    Adult check-in
  16. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain, Injection site swelling — Feeling: Good
    Free text: The previous days arm pain and swelling was probably due to the injection being in the fatty portion of the arm instead of the upper muscle toward the shoulder.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Dry cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-10
    Survey response — day 7, dose 2
    MedDRA: Nasal congestion — Feeling: Good
    Free text: Nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-31
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-09-01
    Survey response — 6 months, dose 2
    MedDRA: Asthenia, Cough, Gingival pain, Neck pain, Pre-existing disease, Rhinorrhoea, Sneezing, Tooth disorder, Weight increased — Feeling: Fair
    Free text: Cough, sneezing, runny nose, neck ache, gum pain, one degree temperature above 97.2, low energy, and weight gainprobably allergy and dental issues
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  28. 2021-10-28
    Dose 3 — Moderna
  29. 2021-10-28
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  31. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-02
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-27
    Survey response — 3 months, dose 3
    MedDRA: Asthenia, Body temperature increased, Decreased appetite, Headache, Insomnia, Nausea — Feeling: Fair
    Free text: Possible UTI and mild headaches and nausea and occasional temperature rise from normal 97.2 to 98.2 or 98.9 F. Poor appetite. Inadequate sleep and lack of energy.
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-04-08
    Dose 4 — Moderna
  44. 2022-04-19
    Health check-in — day 7, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-03-03Moderna
32021-10-28Moderna No
42022-04-08Moderna No

Free text

Release 3 — day 0, dose 1

2021-01-28

Systemic reaction (other): Possible early bladder infection no fever

Release 3 — days 1–6 daily, dose 1

2021-01-29

Systemic reaction (other): Still urinary tract burning pain

2021-01-31

Systemic reaction (other): Probable UTI

Release 3 — day 7, dose 1

2021-02-04

Systemic reaction (other): Lightheadedness, slight occasional headache

Release 5 — days 1–6 daily, dose 2

2021-03-04

Systemic reaction (other): Slight nausea

2021-03-06

Systemic reaction (other): The previous days arm pain and swelling was probably due to the injection being in the fatty portion of the arm instead of the upper muscle toward the shoulder.

2021-03-07

Systemic reaction (other): Dry cough

Release 5 — day 7, dose 2

2021-03-10

Systemic reaction (other): Nasal congestion

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Cough, sneezing, runny nose, neck ache, gum pain, one degree temperature above 97.2, low energy, and weight gainprobably allergy and dental issues

Release 11 — 3 months, dose 3

2022-01-27

Symptoms: Possible UTI and mild headaches and nausea and occasional temperature rise from normal 97.2 to 98.2 or 98.9 F. Poor appetite. Inadequate sleep and lack of energy.

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
SDAsthenia ✓ · ✓
SDBody temperature increased · · ✓
SDCough ✓ · ✓
SDDecreased appetite · · ✓
SDGingival pain ✓ · ✓
SDHeadache · · ✓
SDInsomnia · · ✓
SDNausea · · ✓
SDNeck pain ✓ · ✓
SDPre-existing disease ✓ · ✓
SDRhinorrhoea ✓ · ✓
SDSneezing ✓ · ✓
SDTooth disorder ✓ · ✓
SDWeight increased ✓ · ✓
SROBurning sensation ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROUrinary tract pain ✓ ✓ ✓

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

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