ZYR-28023-58614
2 vaccinations
7 coded responses
25 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 123 / NY
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
2LV-16767-90622
Child or adolescent in my care · Male · 2021-06-24
Timeline
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2021-04-09
Registered in v-safe
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2021-04-09
Dose 1 — Moderna
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2021-04-09
Health check-in — day 0, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Site: PainFree text: Was incredibly fatigued the first evening after receiving the shot.MedDRA 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: Arthralgia, Back pain, Neck pain, Pain in extremity, Peripheral swelling — Feeling: Good · Muscle or body achesFree text: Neck and shoulders are a bit achy, but nothing major. My finger is swollen and hurts but I can't see anything wrong with it. Had a zap of pain throughout my back last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-04-14
- 2021-04-15
- 2021-04-16
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2021-04-23
Survey response — day 14, dose 1MedDRA: Diarrhoea, Dizziness, Feeling abnormal, Headache — Feeling: FairFree text: Have had diarrhea on and off last week. Am feeling a bit dizzy this week and just generally off. Sharp pain in my head woke me up at 3am this morning, but it subsided after a few minutes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 21, dose 1MedDRA: Dizziness, Headache — Feeling: GoodFree text: Sharp pain (similar to a brief, intense headache) and slight dizziness, on and off.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-14
- 2021-05-21
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2021-06-24
Dose 2 — Moderna
- 2021-06-24
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2021-06-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
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2021-06-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Malaise — Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Feeling better today, yesterday evening was the worst. Second dose is going better than the first! Only dizzy the first day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-27
- 2021-06-28
- 2021-06-29
- 2021-06-30
- 2021-07-01
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2021-07-08
Survey response — day 14, dose 2MedDRA: Diarrhoea — Feeling: Good · Be unable to work or attend schoolFree text: Weekly diarrhea, same as the first shot. Occurs about two days, every 6 days for a couple of weeks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-15
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2021-07-22
Survey response — day 28, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Once a week diarrhea ( lasts a day, for about a month or so after the vaccine;happened last time too)MedDRA releases: 2024-11 · check-in free text available
- 2021-07-29
- 2021-08-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-09 | Moderna | |
| 2 | 2021-06-24 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Was incredibly fatigued the first evening after receiving the shot.
Systemic reaction (other): Neck and shoulders are a bit achy, but nothing major. My finger is swollen and hurts but I can't see anything wrong with it. Had a zap of pain throughout my back last night.
Release 7 — day 14, dose 1
Symptoms: Have had diarrhea on and off last week. Am feeling a bit dizzy this week and just generally off. Sharp pain in my head woke me up at 3am this morning, but it subsided after a few minutes.
Release 8 — day 21, dose 1
Symptoms: Sharp pain (similar to a brief, intense headache) and slight dizziness, on and off.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling better today, yesterday evening was the worst. Second dose is going better than the first! Only dizzy the first day.
Release 9 — day 14, dose 2
Symptoms: Weekly diarrhea, same as the first shot. Occurs about two days, every 6 days for a couple of weeks.
Release 9 — day 28, dose 2
Symptoms: Once a week diarrhea ( lasts a day, for about a month or so after the vaccine;happened last time too)
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release