ZS5-57096-68682
6 vaccinations
7 coded responses
42 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 974 / OR
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
-
2021-04-23
Dose 2 — Moderna
- 2021-04-23
-
2021-04-24
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Chills, Headache, Myalgia — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Headache, joint and muscle pain, chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-04-26
- 2021-04-28
- 2021-04-30
- 2021-05-07
-
2021-05-14
Survey response — day 21, dose 2MedDRA: Arthropod bite, Contusion, Pre-existing disease — Feeling: GoodFree text: I got a series of spider bites on my hip. Three of them developed a 2-3 inch bruise around them. I have a history of ITP and am asplenic. I also noticed a bruise on the fossa of my elbow as if I had a lab draw, which I havent. Might not be relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-21
- 2021-05-28
-
2021-06-04
Survey response — day 42, dose 2MedDRA: Abdominal pain upper — Feeling: Good · Be unable to do your normal daily activitiesFree text: About 8 hours of stomach cramps without other GI upset. This is vety unusual for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-23
-
2021-08-16
Dose 3 — Moderna
-
2021-10-22
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: FairFree text: Mild coldMedDRA releases: 2024-11 · check-in free text available
- 2021-11-15
- 2022-02-14
-
2022-02-25
Dose 4 — Moderna
- 2022-04-14
- 2022-05-27
-
2022-06-24
Dose 5 — Moderna
- 2022-08-26
-
2022-09-23
Dose 6 — Pfizer-BioNTech
- 2022-09-23
-
2022-09-24
Survey response — days 1–6 daily, dose 6MedDRA: Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: Swollen glandsMedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
- 2022-09-26
- 2022-09-28
- 2022-09-29
- 2022-10-02
-
2022-10-07
Survey response — day 14, dose 6MedDRA: Fatigue, Poor quality sleep — Feeling: FairFree text: Fatigue, slept very poorly last nightMedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-21
- 2022-11-04
-
2022-12-23
Survey response — 3 months, dose 6MedDRA: SARS-CoV-2 test negative, Viral infection — Feeling: GoodFree text: Very mild virus, home tested negative 3x for covid.MedDRA releases: 2024-11 · check-in free text available
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-08-16 | Moderna | No |
| 4 | 2022-02-25 | Moderna | No |
| 5 | 2022-06-24 | Moderna | No |
| 6 | 2022-09-23 | Pfizer-BioNTech | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Headache, joint and muscle pain, chills
Release 8 — day 21, dose 2
Symptoms: I got a series of spider bites on my hip. Three of them developed a 2-3 inch bruise around them. I have a history of ITP and am asplenic. I also noticed a bruise on the fossa of my elbow as if I had a lab draw, which I havent. Might not be related cut off by CDC
Release 8 — day 42, dose 2
Symptoms: About 8 hours of stomach cramps without other GI upset. This is vety unusual for me.
Release 10 — 6 months, dose 2
Symptoms: Mild cold
Release 12 — days 1–6 daily, dose 6
Systemic reaction (other): Swollen glands
Release 12 — day 14, dose 6
Symptoms: Fatigue, slept very poorly last night
Release 12 — 3 months, dose 6
Symptoms: Very mild virus, home tested negative 3x for covid.
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 pain upper | ✓ | ✓ | ✓ |
| SD | Arthropod bite | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Poor quality sleep | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release