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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

  1. 2021-01-10
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain
    Free text: Runny nose used saline to breath trough To be able tisleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ocular hyperaemia — Feeling: Fair · Fatigue or tiredness, Abdominal pain
    Free text: Feeling this all since 1/13/2021 plus eyes blood shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-24
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  7. 2021-02-02
    Survey response — day 21, dose 1
    MedDRA: Blood glucose decreased, Blood glucose increased — Feeling: Fair · Be unable to do your normal daily activities
    Free 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
  8. 2021-02-07
    Dose 2 — Moderna
  9. 2021-02-07
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-21
    Survey response — day 14, dose 2
    MedDRA: Back pain, Urine analysis abnormal — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Bubbles in urine and pain in back and now in front of abdominal where new kidney is
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-02
    Survey response — day 21, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Good
    Free text: Have to get transplanted kidney work up no problems for 5 years post op then got first shot and worse signs with 2 shor
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-07
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-03-14
    Survey response — day 35, dose 2
    MedDRA: Bowel movement irregularity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Frequent bowel movements loose 3-5 a day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-21
    Survey response — day 42, dose 2
    MedDRA: Cough — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I had a cough start 2 days after receiving first vaccine dry hacking now worse and more common
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-10Moderna
22021-02-07Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Runny nose used saline to breath trough To be able tisleep

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): Feeling this all since 1/13/2021 plus eyes blood shot

Release 3 — day 21, dose 1

2021-02-02

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

2021-02-21

Symptoms: Bubbles in urine and pain in back and now in front of abdominal where new kidney is

Release 4 — day 21, dose 2

2021-03-02

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

2021-03-14

Symptoms: Frequent bowel movements loose 3-5 a day

Release 6 — day 42, dose 2

2021-03-21

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

FieldPreferred term2021-092023-042024-11
SDBack pain ✓ ✓ ✓
SDBlood glucose decreased ✓ ✓ ✓
SDBlood glucose increased ✓ ✓ ✓
SDBowel movement irregularity ✓ ✓ ✓
SDCondition aggravated ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDUrine analysis abnormal ✓ ✓ ✓
SROOcular hyperaemia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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