ZQ5-12291-23661
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 435 / OH
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-17
Dose 1 — Moderna
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2021-02-19
Registered in v-safe
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2021-02-19
Survey response — days 1–6 daily, dose 1MedDRA: Delusion — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Delusional 5 hours after and lasted about 4 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: I had a headache last night which awoke me.Very slight headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Joint painsFree text: I am 5 days post vaccine. I can tell it kick started my immune defense.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-02-24
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2021-03-03
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site reaction — Feeling: GoodFree text: Itching at injection site. Upon further investigation noticed that the injection site looked like a mosquito bite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
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2021-03-17
Dose 2 — Moderna
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2021-03-17
Survey response — day 0, dose 2MedDRA: Malaise — Feeling: Good · Site: SwellingFree text: Just that I received my vaccine the second one, almost 4 hours ago. My first vaccine symptoms started about five hours after the first vaccine. Then for four hours I felt like maybe someone that had Covid. But only for four hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Dyspepsia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: HeartburnMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-09-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Delusional 5 hours after and lasted about 4 hours
Systemic reaction (other): I had a headache last night which awoke me.Very slight headache.
Systemic reaction (other): I am 5 days post vaccine. I can tell it kick started my immune defense.
Release 5 — day 14, dose 1
Symptoms: Itching at injection site. Upon further investigation noticed that the injection site looked like a mosquito bite.
Release 5 — day 0, dose 2
Systemic reaction (other): Just that I received my vaccine the second one, almost 4 hours ago. My first vaccine symptoms started about five hours after the first vaccine. Then for four hours I felt like maybe someone that had Covid. But only for four hours.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Heartburn
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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Delusion | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release