ZRY-17201-33850
3 vaccinations
3 coded responses
28 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 197 / DE
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Dose 1 — Moderna
-
2021-01-19
Registered in v-safe
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain — Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: slight shooting pain on left back side of headMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Itchy redness at site of injection that lasted for about 2 days. Redness was about 5 in diameter. No redness or itchy now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-26
- 2021-02-27
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-31
- 2021-04-05
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2021-05-24
Survey response — 3 months, dose 2MedDRA: Epistaxis, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Head cold: no fever; congested; a lot of mucous from nostrils; could bring up mucous from throat thru mouth also. Woke up early morning to discover results of a nosebleed from right nostril 4x; coughed up mucous with clots of blood.. Im now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-23
-
2021-10-23
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-22
- 2021-11-27
- 2021-12-04
- 2022-01-23
- 2022-04-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): slight shooting pain on left back side of head
Release 3 — day 14, dose 1
Symptoms: Itchy redness at site of injection that lasted for about 2 days. Redness was about 5 in diameter. No redness or itchy now.
Release 8 — 3 months, dose 2
Symptoms: Head cold: no fever; congested; a lot of mucous from nostrils; could bring up mucous from throat thru mouth also. Woke up early morning to discover results of a nosebleed from right nostril 4x; coughed up mucous with clots of blood.. Im now.
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 | Epistaxis | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release