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ZR3-46059-34915

2 vaccinations 4 coded responses 9 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
199 / DE
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Dose 1 — Moderna
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-11
    Survey response — day 21, dose 1
    MedDRA: Dyspnoea, Fatigue, Headache, Loss of personal independence in daily activities — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Was feeling good til 1st vaccine 3/21. Time for second vaccine but breathing worse e.g. shortness of breath to walk 50ft and shower do laundry, etc. left fingers still go numb since vaccine, lump at site, extreme fatigue and frequent H/A.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-18
    Survey response — day 28, dose 1
    MedDRA: Dyspnoea, Fatigue, Headache, Hypoaesthesia, Palpitations, Paraesthesia, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Shortness of breath with activity such as walking from one end of the house to the other, walking the dog in the yard. palpitations, severe headaches arm numbness and tingling and fatigue - I had just gotten back to WNL after COVID
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-02
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-06-20
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-09-04
    Dose 2 — Moderna
  8. 2021-09-21
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-10-02
    Survey response — day 28, dose 2
    MedDRA: Dyspnoea, Headache, Heart rate irregular — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache, irregular heartbeat, shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-10-09
    Survey response — day 35, dose 2
    MedDRA: Dyspnoea, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache and shortness of breath
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-18
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-12-04
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Moderna
22021-09-04Moderna No

Free text

Release 7 — day 21, dose 1

2021-04-11

Symptoms: Was feeling good til 1st vaccine 3/21. Time for second vaccine but breathing worse e.g. shortness of breath to walk 50ft and shower do laundry, etc. left fingers still go numb since vaccine, lump at site, extreme fatigue and frequent H/A.

Release 7 — day 28, dose 1

2021-04-18

Symptoms: Shortness of breath with activity such as walking from one end of the house to the other, walking the dog in the yard. palpitations, severe headaches arm numbness and tingling and fatigue - I had just gotten back to WNL after COVID

Release 9 — day 28, dose 2

2021-10-02

Symptoms: Headache, irregular heartbeat, shortness of breath

Release 10 — day 35, dose 2

2021-10-09

Symptoms: Headache and shortness of breath

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
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate irregular · · ✓
SDHypoaesthesia ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDPalpitations ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓

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