ZXV-22955-49315
2 vaccinations
7 coded responses
16 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 300 / GA
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-06
Registered in v-safe
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2021-04-06
Dose 1 — Moderna
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2021-04-06
Survey response — day 0, dose 1MedDRA: Dysgeusia, Feeling cold, Immediate post-injection reaction — Feeling: Good · Chills, Headache, NauseaFree text: Left side on body ( received shot in left arm) cold to touch. Bitter metallic taste while eating 1 hr after shot. 3 hours later everything tastes the same.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body achesAdult check-in
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2021-04-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Fever · Chills, Muscle or body achesAdult check-in
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2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fever · Chills, Headache, Muscle or body aches, NauseaAdult check-in
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · Fever · ChillsFree text: Woke to sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Menstrual disorder, Vaginal haemorrhage — Feeling: GoodFree text: Abnormal Periods spottingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 7, dose 1MedDRA: Paraesthesia — Feeling: Good · Fever · Chills, HeadacheFree text: Tingling on left side (shot administered in left arm)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 14, dose 1MedDRA: Nausea, Vision blurred — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Blurry vision in right eye. Super nauseous one night and had to immediately go to sleep. Get cold quickly, especially on left side (side I received shot)( house temp set to 78).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Dose 2 — Moderna
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2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
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2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Fatigue or tiredness, NauseaAdult check-in
- 2021-05-10
- 2021-05-18
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2021-06-08
Survey response — day 35, dose 2MedDRA: Chills, Fatigue — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: Chills, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-15
Survey response — day 42, dose 2MedDRA: Chills, Fatigue — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Extreme fatigue, chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Left side on body ( received shot in left arm) cold to touch. Bitter metallic taste while eating 1 hr after shot. 3 hours later everything tastes the same.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Woke to sore throat
Systemic reaction (other): Abnormal Periods spotting
Release 7 — day 7, dose 1
Systemic reaction (other): Tingling on left side (shot administered in left arm)
Release 7 — day 14, dose 1
Symptoms: Blurry vision in right eye. Super nauseous one night and had to immediately go to sleep. Get cold quickly, especially on left side (side I received shot)( house temp set to 78).
Release 8 — day 35, dose 2
Symptoms: Chills, fatigue
Release 9 — day 42, dose 2
Symptoms: Extreme fatigue, chills
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 | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Menstrual disorder | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Vaginal haemorrhage | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release