ZRM-19719-52662
3 vaccinations
7 coded responses
20 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 490 / MI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-04-06
Dose 2 — Moderna
- 2021-04-06
-
2021-07-06
Survey response — 3 months, dose 2MedDRA: Cough, Diarrhoea, Fatigue, Rash — Feeling: FairFree text: Lately, the past 10 days I developed a small dry cough. I also have a rashI was treated for poison ivy but this rash looks different. I also had severe diarrhea for two day. Im not so tired that I cant function but Im tired. Had bothMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-05
-
2021-11-01
Dose 3 — Moderna
-
2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Large swelling of lymph nodes under right arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling, ItchingFree text: Swelling in underarm lymph nodesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy, Toothache — Feeling: GoodFree text: My right side lymph nodes are only a little swollen. Since I've had the vaccine, my teeth on the right side have ached.MedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Toothache — Feeling: GoodFree text: Still have teeth that slightly ache in right side. Slowly getting better.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-08
Survey response — day 7, dose 3MedDRA: Toothache — Feeling: GoodFree text: Only one tooth is painful today. It happens to be a molar dental implant. Other teeth are feeling fine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
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2022-05-04
Survey response — 6 months, dose 3MedDRA: Cough, Headache, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Constant coughtrying to get the junk out of my lung. Low grade fever. Achy. Headache. 2 home Covid tests-negative. Triple vaccinated.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Free text
Release 9 — 3 months, dose 2
Symptoms: Lately, the past 10 days I developed a small dry cough. I also have a rashI was treated for poison ivy but this rash looks different. I also had severe diarrhea for two day. Im not so tired that I cant function but Im tired. Had both
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Large swelling of lymph nodes under right arm.
Systemic reaction (other): Swelling in underarm lymph nodes
Systemic reaction (other): My right side lymph nodes are only a little swollen. Since I've had the vaccine, my teeth on the right side have ached.
Systemic reaction (other): Still have teeth that slightly ache in right side. Slowly getting better.
Release 10 — day 7, dose 3
Systemic reaction (other): Only one tooth is painful today. It happens to be a molar dental implant. Other teeth are feeling fine.
Release 11 — 6 months, dose 3
Symptoms: Constant coughtrying to get the junk out of my lung. Low grade fever. Achy. Headache. 2 home Covid tests-negative. Triple vaccinated.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Toothache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release