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ZYQ-10472-53724

5 vaccinations 11 coded responses 46 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
609 / IL
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-17
    Registered in v-safe
  2. 2021-04-17
    Dose 1 — Moderna
  3. 2021-04-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling cold, Hypersomnia, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain · Muscle or body aches
    Free text: Yesterday my arm was really sore, had a low fever, and was cold, and slept alot.. you did not text me yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Discomfort, Head discomfort, Paranasal sinus discomfort, Sinus disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Nausea · Be unable to do your normal daily activities
    Free text: Pressure in forehead,nose,under left ear, and neck. It is probally sinus issues I am dealing with.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paranasal sinus discomfort — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea
    Free text: Still some sinus pressure in head and ears..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · None
    Adult check-in
  8. 2021-04-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Head discomfort, Paranasal sinus discomfort — Feeling: Fair · Site: Itching
    Free text: Sinus issues with pressure in head and behind the nose. Slight dizziness.. it might be just pollen allergy..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-24
    Survey response — day 7, dose 1
    MedDRA: Ear discomfort, Head discomfort, Hypersensitivity, Paranasal sinus discomfort, Pre-existing disease, Seasonal allergy — Feeling: Fair · Site: Pain, Itching
    Free text: Just pressure in my head, nose, and ears probally due to allergies . We have pollen alerts lately..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-01
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-05-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-15
    Dose 2 — Moderna
  13. 2021-05-15
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Fatigue or tiredness
    Adult check-in
  14. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Fatigue — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Had the chills at night and through the middle of the night on Saturday May 15 thru Sunday early morning May 16. Sunday May 14 felt really tired and chills were gone..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  16. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-05-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper — Feeling: Good · Abdominal pain
    Free text: Stomach pain is gone now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-29
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-06-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-12
    Survey response — day 28, dose 2
    MedDRA: Pain in extremity — Feeling: Fair
    Free text: Soreness in my left hand for the past few days in the palm and thumb area. Even went up the left arm for a little while. Doing better today. Don't know if that has anything to do with the vaccine . The shots were in my left arm though.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-26
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Cough, Myalgia, Rhinorrhoea — Feeling: Fair
    Free text: Muscles and joints sore last few days. Might because of the rainy and humid weather that has been going on here in Illinois. Usually feel better in the middle of the day. Had a little bit of coughing and little bit of a runny nose but I believe it al
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-08-14
    Survey response — 3 months, dose 2
    MedDRA: Abdominal pain upper, Headache, Pre-existing disease, Renal impairment, Sinus disorder — Feeling: Good · Be unable to do your normal daily activities
    Free text: Having sinuses issues again. Kidney function went down a little. I have kidney disease anyway. Having slight little headaches . Stomaches sometimes. This all could be from the kidney disease though.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-11-13
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-11-22
    Dose 3 — Moderna
  28. 2022-05-15
    Dose 4 — Moderna
  29. 2022-05-15
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  30. 2022-05-15
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain · None
    Adult check-in
  31. 2022-05-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · None
    Adult check-in
  32. 2022-05-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  33. 2022-05-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-05-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-21
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-22
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-29
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-06-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-12
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-06-19
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  42. 2022-06-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-08-14
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-10-30
    Dose 5 — Moderna
  45. 2022-11-13
    Health check-in — day 14, dose 5
    Feeling: Fair
    Adult check-in
  46. 2022-11-13
    Survey response — 6 months, dose 4
    MedDRA: Arthralgia, Diabetes mellitus, Pre-existing disease, Renal impairment — Feeling: Fair · Be unable to work or attend school
    Free text: I found out I am diabetic now. Having a little more joint pain. I have chronic stage 4 kidney disease and my kidney function has gone down now.
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-11-20
    Health check-in — day 21, dose 5
    Feeling: Fair
    Adult check-in
  48. 2022-11-27
    Health check-in — day 28, dose 5
    Feeling: Fair
    Adult check-in
  49. 2022-12-04
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  50. 2022-12-11
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  51. 2023-01-31
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  52. 2023-04-30
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Moderna
22021-05-15Moderna
32021-11-22Moderna No
42022-05-15Moderna No
52022-10-30Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-19

Systemic reaction (other): Yesterday my arm was really sore, had a low fever, and was cold, and slept alot.. you did not text me yesterday.

2021-04-20

Systemic reaction (other): Pressure in forehead,nose,under left ear, and neck. It is probally sinus issues I am dealing with.

2021-04-21

Systemic reaction (other): Still some sinus pressure in head and ears..

2021-04-23

Systemic reaction (other): Sinus issues with pressure in head and behind the nose. Slight dizziness.. it might be just pollen allergy..

Release 7 — day 7, dose 1

2021-04-24

Systemic reaction (other): Just pressure in my head, nose, and ears probally due to allergies . We have pollen alerts lately..

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): Had the chills at night and through the middle of the night on Saturday May 15 thru Sunday early morning May 16. Sunday May 14 felt really tired and chills were gone..

2021-05-21

Systemic reaction (other): Stomach pain is gone now.

Release 9 — day 28, dose 2

2021-06-12

Symptoms: Soreness in my left hand for the past few days in the palm and thumb area. Even went up the left arm for a little while. Doing better today. Don't know if that has anything to do with the vaccine . The shots were in my left arm though.

Release 9 — day 42, dose 2

2021-06-26

Symptoms: Muscles and joints sore last few days. Might because of the rainy and humid weather that has been going on here in Illinois. Usually feel better in the middle of the day. Had a little bit of coughing and little bit of a runny nose but I believe it al cut off by CDC

Release 9 — 3 months, dose 2

2021-08-14

Symptoms: Having sinuses issues again. Kidney function went down a little. I have kidney disease anyway. Having slight little headaches . Stomaches sometimes. This all could be from the kidney disease though.

Release 12 — 6 months, dose 4

2022-11-13

Symptoms: I found out I am diabetic now. Having a little more joint pain. I have chronic stage 4 kidney disease and my kidney function has gone down now.

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

FieldPreferred term2021-092023-042024-11
SDAbdominal pain upper ✓ · ✓
SDArthralgia ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDiabetes mellitus · · ✓
SDHeadache ✓ · ✓
SDMyalgia ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDRenal impairment ✓ · ✓
SDRhinorrhoea ✓ ✓ ✓
SDSinus disorder ✓ · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEar discomfort ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROHypersomnia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParanasal sinus discomfort ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSeasonal allergy ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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