ZWE-13981-63416
5 vaccinations
4 coded responses
61 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 916 / CA
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-29
Dose 1 — Moderna
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pyrexia, Self-medication — Feeling: Good · Site: PainFree text: Ran fever last night for a brief time and had pretty achy joints. Took Advil. Went to sleep. Felt fine in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
-
2021-03-20
Survey response — day 21, dose 2MedDRA: Arthralgia, Musculoskeletal stiffness, Oedema peripheral, Pain in extremity — Feeling: GoodFree text: The arm that i was vaccinated in was a bit sore and stiff a couple of times this week. Up into my shoulder. Struck me as odd. Thought i should mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessAdult check-in
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Mobility decreased, Peripheral swelling, Pyrexia — Feeling: Good · Site: Pain, Redness, SwellingFree text: I may have filled this out before i started having symptoms yesterday. I did have fever and chills the day after my shot, yesterday. Had to go to bed. And my arm started to swell some. Today is much better.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-24
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-07
Dose 4 — Moderna
- 2022-04-14
- 2022-04-21
- 2022-04-28
- 2022-05-07
- 2022-05-12
- 2022-05-19
- 2022-07-07
-
2022-10-05
Dose 5 — Moderna
- 2022-10-05
-
2022-10-06
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-10-07
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: My normal body temo is 97.6MedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-09
- 2022-10-10
- 2022-10-11
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-16
- 2023-01-04
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
| 5 | 2022-10-05 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Ran fever last night for a brief time and had pretty achy joints. Took Advil. Went to sleep. Felt fine in the morning.
Release 6 — day 21, dose 2
Symptoms: The arm that i was vaccinated in was a bit sore and stiff a couple of times this week. Up into my shoulder. Struck me as odd. Thought i should mention it.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I may have filled this out before i started having symptoms yesterday. I did have fever and chills the day after my shot, yesterday. Had to go to bed. And my arm started to swell some. Today is much better.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): My normal body temo is 97.6
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Oedema peripheral | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release