ZTN-11514-55587
3 vaccinations
8 coded responses
20 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 787 / TX
- Registered
- 2021-04-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-22
Dose 1 — Moderna
-
2021-04-22
Dose 2 — Moderna
-
2021-04-25
Registered in v-safe
-
2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal chest pain, Tenderness — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Symptoms similar to gallbladder issues - pain just beneath my rib cage and if I press on my gallbladder it hurtsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Dry mouth — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Severe dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-01
Survey response — day 7, dose 2MedDRA: Dry mouth — Feeling: Fair · Site: Pain · Joint pains · Be unable to do your normal daily activitiesFree text: Constant severe dry mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-05-13
-
2021-05-20
Survey response — day 28, dose 2MedDRA: Dry mouth, Immediate post-injection reaction, Influenza like illness — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Same exact flu like symptoms as immediately after the shot including severe cotton mouth. I am 5 days in tracking exactly as 2 weeks ago just as severeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Survey response — day 35, dose 2MedDRA: Dry mouth, Dysgeusia, Lymphadenopathy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Dry mouth is getting worse. Food tastes bitter and lymph node swelling continuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-04
Survey response — day 42, dose 2MedDRA: Dry mouth, Lymphadenopathy, Taste disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: The dry mouth and taste issues have continued. Swelling of lymph nodes has finally subsidedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-23
-
2022-01-30
Dose 3 — Moderna
- 2022-01-30
-
2022-02-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
-
2022-02-05
Survey response — days 1–6 daily, dose 3MedDRA: Taste disorder — Feeling: Good · Site: Swelling, Itching · Joint pains, Muscle or body achesFree text: Taste issuesMedDRA releases: 2024-11 · check-in free text available
-
2022-02-08
Survey response — day 7, dose 3MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-02-13
- 2022-02-22
- 2022-03-01
- 2022-03-07
- 2022-03-16
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2022-01-30 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Symptoms similar to gallbladder issues - pain just beneath my rib cage and if I press on my gallbladder it hurts
Systemic reaction (other): Severe dry mouth
Release 8 — day 7, dose 2
Systemic reaction (other): Constant severe dry mouth
Release 8 — day 28, dose 2
Symptoms: Same exact flu like symptoms as immediately after the shot including severe cotton mouth. I am 5 days in tracking exactly as 2 weeks ago just as severe
Release 8 — day 35, dose 2
Symptoms: Dry mouth is getting worse. Food tastes bitter and lymph node swelling continues
Release 8 — day 42, dose 2
Symptoms: The dry mouth and taste issues have continued. Swelling of lymph nodes has finally subsided
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Taste issues
Release 11 — day 7, dose 3
Systemic reaction (other): 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 | Dry mouth | ✓ | ✓ | ✓ |
| SD | Dysgeusia | ✓ | ✓ | ✓ |
| SD | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Dry mouth | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Musculoskeletal chest pain | ✓ | ✓ | ✓ |
| SRO | Taste disorder | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release