ZX2-11125-05249
4 vaccinations
11 coded responses
55 check-ins
11 free-text entries
3 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 558 / MN
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
K6J-15735-82512
Child or adolescent in my care · Male · 2021-11-09
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-01-22
Registered in v-safe
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2021-01-22
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Insomnia — Feeling: Poor · Site: Pain, Swelling · Fever · Fatigue or tirednessFree text: Did not sleep well last night but fatigue today seems more than expectedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-05
- 2021-02-11
- 2021-02-18
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2021-02-19
Dose 2 — Moderna
- 2021-02-19
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Tension headache — Feeling: Good · HeadacheFree text: Headache is a tension headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
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2021-03-06
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea - think it was anxiety relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
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2021-05-21
Survey response — 3 months, dose 2MedDRA: Anxiety, Depression — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Increased anxiety and depression. Very likely situation-related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-21
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-08-20
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2021-10-25
Dose 3 — ModernaCo-administered: Other
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction, Road traffic accident — Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Fatigue or tirednessFree text: Was in a minor car accident this morning, so symptoms could be secondary to thatMedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Myalgia, Road traffic accident — Feeling: Fair · Site: Pain, Swelling · Joint pains, Muscle or body achesFree text: Joint and muscle pain are likely from the car accident I was in two days agoMedDRA releases: 2024-11 · check-in free text available
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Insomnia, Pain, Road traffic accident — Feeling: Fair · Muscle or body aches, Fatigue or tirednessFree text: Fatigue and aches may be from a car accident earlier in the week and limited sleep last nightMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
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2021-11-08
Survey response — day 14, dose 3MedDRA: Vulvovaginal mycotic infection — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Vaginal yeast infectionMedDRA releases: 2024-11 · check-in free text available
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2021-11-08
Report sent to call center — day 14, dose 3Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2021-11-10
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-11-15
Survey response — day 21, dose 3MedDRA: Cough, Gastrointestinal pain, Nasopharyngitis, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good · Be unable to work or attend schoolFree text: A cold - congestion, runny nose, cough, sneezing GI painMedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
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2021-11-29
Survey response — day 35, dose 3MedDRA: Arthralgia — Feeling: GoodFree text: Hip joint pain (probably from a hike yesterday)MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2022-01-24
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2022-04-25
Survey response — 6 months, dose 3MedDRA: Chills, Cough, Pain, Pneumonitis, Pyrexia, Viral upper respiratory tract infection — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Upper respiratory virus, fever, cough, chills, aches, pneumonitisMedDRA releases: 2024-11 · check-in free text available
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2022-04-25
Report sent to call center — 6 months, dose 3Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prOutpatient clinic or urgent care clinic visit · 1 call case(s)
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2022-04-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-26
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2022-11-03
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2022-11-03
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2022-11-04
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2022-11-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-06
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-11-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-11-08
- 2022-11-09
- 2022-11-10
- 2022-11-17
- 2022-11-24
- 2022-12-01
- 2022-12-08
- 2022-12-16
- 2023-02-02
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna | |
| 3 | 2021-10-25 | Moderna | Other |
| 4 | 2022-11-03 | Pfizer-BioNTech | Flu |
Call center
3 call center cases
2 successful · 1 unsuccessful
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Did not sleep well last night but fatigue today seems more than expected
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Headache is a tension headache
Release 5 — day 14, dose 2
Symptoms: Diarrhea - think it was anxiety related
Release 8 — 3 months, dose 2
Symptoms: Increased anxiety and depression. Very likely situation-related.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Was in a minor car accident this morning, so symptoms could be secondary to that
Systemic reaction (other): Joint and muscle pain are likely from the car accident I was in two days ago
Systemic reaction (other): Fatigue and aches may be from a car accident earlier in the week and limited sleep last night
Release 10 — day 14, dose 3
Symptoms: Vaginal yeast infection
Release 10 — day 21, dose 3
Symptoms: A cold - congestion, runny nose, cough, sneezing GI pain
Release 10 — day 35, dose 3
Symptoms: Hip joint pain (probably from a hike yesterday)
Release 11 — 6 months, dose 3
Symptoms: Upper respiratory virus, fever, cough, chills, aches, pneumonitis
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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Gastrointestinal pain | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pneumonitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SD | Vulvovaginal mycotic infection | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Road traffic accident | · | · | ✓ |
| SRO | Tension headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release