ZRU-15295-01260
4 vaccinations
5 coded responses
39 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 210 / MD
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-23
Dose 1 — Moderna
-
2021-01-24
Registered in v-safe
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
-
2021-02-06
Survey response — day 14, dose 1MedDRA: Headache, Migraine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Migtaine-like headsche for two days easing the third day, fine the fourth day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
-
2021-02-20
Dose 2 — Moderna
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
-
2021-05-22
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue, Headache, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Daily headache, cough, low grade temperature, fatigue ; negative covid test two+ days after these concernsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-21
-
2021-10-25
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site discomfort — Feeling: GoodFree text: Soreness at injection site but no pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
-
2021-11-01
Survey response — day 7, dose 3MedDRA: Vaccination site pruritus — Feeling: GoodFree text: The site of the vaccination itches occasionally and has from the beginning.but it's slight and passes quickly. My husband,.(b)(6),.said the same. As a result we have simply been checking 'none' where it's asked.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
-
2022-01-24
Survey response — 3 months, dose 3MedDRA: Abdominal discomfort, Decreased appetite, Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activitiesFree text: About three days of more than usual fatigue, loss of appetite, unsettled stomach, slight daily headaches.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-20
Dose 4 — Pfizer-BioNTech
- 2022-04-25
- 2022-05-20
- 2022-06-02
- 2022-07-23
- 2023-04-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-20 | Pfizer-BioNTech | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Migtaine-like headsche for two days easing the third day, fine the fourth day.
Release 8 — 3 months, dose 2
Symptoms: Daily headache, cough, low grade temperature, fatigue ; negative covid test two+ days after these concerns
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Soreness at injection site but no pain.
Release 10 — day 7, dose 3
Systemic reaction (other): The site of the vaccination itches occasionally and has from the beginning.but it's slight and passes quickly. My husband,.(b)(6),.said the same. As a result we have simply been checking 'none' where it's asked.
redacted (b)(6)
Release 11 — 3 months, dose 3
Symptoms: About three days of more than usual fatigue, loss of appetite, unsettled stomach, slight daily headaches.
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 | Abdominal discomfort | · | · | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | · | · | ✓ |
| SRO | Vaccination site pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release