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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

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-31
    Dose 2 — Moderna
  13. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Incontinence — Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches
    Free text: incontinence several times today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Incontinence, Pollakiuria — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: frequent urination w/accompanying incontinence
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia — Feeling: Good · Site: Pain · Muscle or body aches, Nausea
    Free text: am doing new exercises in PT which may also be causing muscle aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  17. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good
    Free text: Coughing in bed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-07
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-21
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Oropharyngeal pain, Pain, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  22. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-05
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Pain — Feeling: Good
    Free text: Achy, tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-13
    Survey response — day 42, dose 2
    MedDRA: Pain — Feeling: Good
    Free 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
  25. 2021-06-30
    Survey response — 3 months, dose 2
    MedDRA: Cough, Fatigue, Headache, Influenza like illness, Pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  26. 2022-03-31
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): incontinence several times today

2021-04-02

Systemic reaction (other): frequent urination w/accompanying incontinence

2021-04-03

Systemic reaction (other): am doing new exercises in PT which may also be causing muscle aches

2021-04-05

Systemic reaction (other): Coughing in bed

Release 7 — day 21, dose 2

2021-04-21

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

2021-05-05

Symptoms: Achy, tired

Release 8 — day 42, dose 2

2021-05-13

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

2021-06-30

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

FieldPreferred term2021-092023-042024-11
SDCough ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROIncontinence ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPollakiuria ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release