ZU7-34570-89411
2 vaccinations
8 coded responses
23 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 191 / PA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-03-04
Registered in v-safe
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2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
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2021-03-31
Dose 2 — Moderna
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Incontinence — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body achesFree text: incontinence several times todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Incontinence, Pollakiuria — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: frequent urination w/accompanying incontinenceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches, NauseaFree text: am doing new exercises in PT which may also be causing muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
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2021-04-05
Survey response — days 1–6 daily, dose 2MedDRA: Cough — Feeling: GoodFree text: Coughing in bedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
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2021-04-07
Health check-in — day 7, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-14
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2021-04-21
Survey response — day 21, dose 2MedDRA: Fatigue, Oropharyngeal pain, Pain, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Extreme tiredness, achiness all over, & a sore throat. I took 2 extra strength tylenols & took a nap, then I felt better.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-28
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2021-05-05
Survey response — day 35, dose 2MedDRA: Fatigue, Pain — Feeling: GoodFree text: Achy, tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-13
Survey response — day 42, dose 2MedDRA: Pain — Feeling: GoodFree text: My rt. leg is painful when I bend down a certain way,esp. behind the knee, and I cant put pressure on it when I attempt to stand from a sitting position.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-30
Survey response — 3 months, dose 2MedDRA: Cough, Fatigue, Headache, Influenza like illness, Pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu-like symptoms that came on fast: Headache, sneezing, runny nose, head congestion, cough, tiredness, achiness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2022-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): incontinence several times today
Systemic reaction (other): frequent urination w/accompanying incontinence
Systemic reaction (other): am doing new exercises in PT which may also be causing muscle aches
Systemic reaction (other): Coughing in bed
Release 7 — day 21, dose 2
Symptoms: Extreme tiredness, achiness all over, & a sore throat. I took 2 extra strength tylenols & took a nap, then I felt better.
Release 8 — day 35, dose 2
Symptoms: Achy, tired
Release 8 — day 42, dose 2
Symptoms: My rt. leg is painful when I bend down a certain way,esp. behind the knee, and I cant put pressure on it when I attempt to stand from a sitting position.
Release 9 — 3 months, dose 2
Symptoms: Flu-like symptoms that came on fast: Headache, sneezing, runny nose, head congestion, cough, tiredness, achiness.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Influenza like illness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Incontinence | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pollakiuria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release