ZX6-63210-55889
3 vaccinations
2 coded responses
25 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 548 / WI
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
-
2021-03-02
Health check-in — day 0, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-08
-
2021-03-09
Survey response — day 7, dose 1MedDRA: Pre-existing disease, Productive cough, Pyrexia, Sputum discoloured — Feeling: Good · Fever · ChillsFree text: I have severe acute allergic asthma and I am having a flare up. I had a productive cough of yellow-ish mucus. I started a Z pack and prednisone on 3/6, This is normal protocol for me. I have had a 99.7 fever today and a 99.8 fever yesterday. I do not believe it is related to my Covid shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-23
- 2021-03-30
-
2021-03-31
Dose 2 — Moderna
-
2021-03-31
Health check-in — day 0, dose 2Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-30
- 2021-09-29
-
2021-09-30
Dose 3 — Moderna
-
2021-10-28
Survey response — day 28, dose 3MedDRA: Feeling abnormal, Pain, Pyrexia, Self-medication — Feeling: Good · Be unable to work or attend schoolFree text: Third full dose gave me aches and feeling "off" the night of. The next day I had a fever of 101.3 that broke at 10:30pm with Tylenol all day.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-04
- 2021-11-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-09-30 | Moderna | No |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): I have severe acute allergic asthma and I am having a flare up. I had a productive cough of yellow-ish mucus. I started a Z pack and prednisone on 3/6, This is normal protocol for me. I have had a 99.7 fever today and a 99.8 fever yesterday. I do not believe it is related to my Covid shot.
Release 10 — day 28, dose 3
Symptoms: Third full dose gave me aches and feeling "off" the night of. The next day I had a fever of 101.3 that broke at 10:30pm with Tylenol all day.
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 | Feeling abnormal | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Productive cough | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sputum discoloured | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release