ZUY-29687-63483
4 vaccinations
9 coded responses
40 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 600 / IL
- Registered
- 2021-04-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Dose 1 — Moderna
-
2021-04-17
Registered in v-safe
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2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy, Pharyngeal swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, Nausea, VomitingFree text: Throat swollen a little in glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — days 1–6 daily, dose 1MedDRA: Fibromyalgia, Pre-existing disease, Rash — Feeling: Good · Fatigue or tirednessFree text: I have O- blood and fibromyalgia and a rash on my chest prior to injection. It is now goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-04-21
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2021-04-28
Survey response — day 14, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Left shot side limp node swelled up on friday the size of a baseball then down to golf ball two days now smaller. I am 0- blood type I believe this has a connectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Report sent to call center — day 14, dose 1Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-05
-
2021-05-12
Dose 2 — Moderna
- 2021-05-12
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-19
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2021-05-26
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Same thing happened 1st shot i got a reaction two weeks after. I am 0- blood. Last time lymph node throat on shot side swelled. This time diarrhea 3 days total liquid.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
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2021-06-09
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: FairFree text: Fever 100 tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-16
- 2021-06-23
- 2021-08-13
-
2021-11-04
Dose 3 — ModernaCo-administered: Flu
- 2021-11-11
-
2021-11-11
Survey response — day 7, dose 3MedDRA: Liver function test increased — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My liver ali test highMedDRA releases: 2024-11 · check-in free text available
- 2021-11-21
- 2021-11-25
- 2021-12-03
- 2021-12-11
- 2022-02-04
- 2022-04-08
- 2022-05-05
-
2022-05-27
Dose 4 — Moderna
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2022-05-28
Survey response — days 1–6 daily, dose 4MedDRA: Ageusia, Injection site pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: soar at injection sight. loss of taste. basically i have covid-19 symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-01
- 2022-06-05
- 2022-06-20
- 2022-06-25
- 2022-07-01
- 2022-07-10
- 2022-08-26
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2022-11-25
Survey response — 6 months, dose 4MedDRA: Loss of consciousness — Feeling: Good · Be unable to do your normal daily activitiesFree text: the day i got the booster shot october 20 i passed out. i did get the flu shot at the same time in a different armMedDRA releases: 2024-11 · check-in free text available
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2023-05-28
Survey response — 12 months, dose 4MedDRA: COVID-19, Cardiac flutter — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-12 | Moderna | |
| 3 | 2021-11-04 | Moderna | Flu |
| 4 | 2022-05-27 | Moderna | No |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Throat swollen a little in glands
Systemic reaction (other): I have O- blood and fibromyalgia and a rash on my chest prior to injection. It is now gone
Release 8 — day 14, dose 1
Symptoms: Left shot side limp node swelled up on friday the size of a baseball then down to golf ball two days now smaller. I am 0- blood type I believe this has a connection
Release 8 — day 14, dose 2
Symptoms: Same thing happened 1st shot i got a reaction two weeks after. I am 0- blood. Last time lymph node throat on shot side swelled. This time diarrhea 3 days total liquid.
Release 9 — day 28, dose 2
Symptoms: Fever 100 tired
Release 10 — day 7, dose 3
Systemic reaction (other): My liver ali test high
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): soar at injection sight. loss of taste. basically i have covid-19 symptoms
Release 12 — 6 months, dose 4
Symptoms: the day i got the booster shot october 20 i passed out. i did get the flu shot at the same time in a different arm
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 | Cardiac flutter | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Ageusia | · | · | ✓ |
| SRO | Fibromyalgia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Liver function test increased | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release