ZZP-21255-02056
5 vaccinations
3 coded responses
36 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 740 / OK
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
-
2021-01-05
Survey response — day 0, dose 1MedDRA: Injection site pain, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Sore arm where vaccination was giving (I expense that when I had my flu vaccination as well).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-14
- 2021-01-20
- 2021-01-26
- 2021-02-02
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · Muscle or body achesFree text: Yesterday the third of the second shot I had a little headache I meant to put that on yesterdays update and I thought it couldve been looking at screens all day from working with three monitors screens I like that I have and today the pain is just as sore but not bad but I need any Tylenol anything but I thought Ill let you know have a blessed dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-19
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-08-24
Dose 3 — Moderna
- 2021-11-23
-
2022-02-12
Dose 4 — Moderna
- 2022-02-22
-
2022-10-10
Dose 5 — ModernaCo-administered: Flu
- 2022-10-10
-
2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: Good · FeverFree text: No just on the first and second day in my arms are sore but I had a flu shot in my right arm and cover in the left but all is well todayMedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-11-07
- 2022-11-14
- 2022-11-23
- 2023-01-09
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
| 4 | 2022-02-12 | Moderna | No |
| 5 | 2022-10-10 | Moderna | Flu |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Sore arm where vaccination was giving (I expense that when I had my flu vaccination as well).
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday the third of the second shot I had a little headache I meant to put that on yesterdays update and I thought it couldve been looking at screens all day from working with three monitors screens I like that I have and today the pain is just as sore but not bad but I need any Tylenol anything but I thought Ill let you know have a blessed day
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No just on the first and second day in my arms are sore but I had a flu shot in my right arm and cover in the left but all is well today
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 |
|---|---|---|---|---|
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release