ZUP-76148-92101
2 vaccinations
7 coded responses
11 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 113 / NY
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Other
- Ethnicity
- N/A
Timeline
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2021-01-10
Dose 1 — Moderna
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2021-01-13
Registered in v-safe
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: PainFree text: Runny nose used saline to breath trough To be able tisleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Ocular hyperaemia — Feeling: Fair · Fatigue or tiredness, Abdominal painFree text: Feeling this all since 1/13/2021 plus eyes blood shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-17
- 2021-01-24
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2021-02-02
Survey response — day 21, dose 1MedDRA: Blood glucose decreased, Blood glucose increased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Cant get blood sugar down gone from 180-259 to 250-430 with severe low or high in pre wake am. 46 to high.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-07
Dose 2 — Moderna
- 2021-02-07
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2021-02-21
Survey response — day 14, dose 2MedDRA: Back pain, Urine analysis abnormal — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Bubbles in urine and pain in back and now in front of abdominal where new kidney isMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — day 21, dose 2MedDRA: Condition aggravated, Pre-existing disease — Feeling: GoodFree text: Have to get transplanted kidney work up no problems for 5 years post op then got first shot and worse signs with 2 shorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
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2021-03-14
Survey response — day 35, dose 2MedDRA: Bowel movement irregularity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Frequent bowel movements loose 3-5 a dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — day 42, dose 2MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had a cough start 2 days after receiving first vaccine dry hacking now worse and more commonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-07 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Runny nose used saline to breath trough To be able tisleep
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Feeling this all since 1/13/2021 plus eyes blood shot
Release 3 — day 21, dose 1
Symptoms: Cant get blood sugar down gone from 180-259 to 250-430 with severe low or high in pre wake am. 46 to high.
Release 4 — day 14, dose 2
Symptoms: Bubbles in urine and pain in back and now in front of abdominal where new kidney is
Release 4 — day 21, dose 2
Symptoms: Have to get transplanted kidney work up no problems for 5 years post op then got first shot and worse signs with 2 shor
Release 5 — day 35, dose 2
Symptoms: Frequent bowel movements loose 3-5 a day
Release 6 — day 42, dose 2
Symptoms: I had a cough start 2 days after receiving first vaccine dry hacking now worse and more common
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 | Back pain | ✓ | ✓ | ✓ |
| SD | Blood glucose decreased | ✓ | ✓ | ✓ |
| SD | Blood glucose increased | ✓ | ✓ | ✓ |
| SD | Bowel movement irregularity | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Urine analysis abnormal | ✓ | ✓ | ✓ |
| SRO | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release