Z26-15978-77341
3 vaccinations
7 coded responses
17 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 190 / PA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-16
Dose 1 — Moderna
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2021-03-16
Registered in v-safe
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2021-03-16
Dose 2 — Moderna
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Under left arm (injection side) lymp node painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Blepharospasm, Chest pain, Cough, Musculoskeletal stiffness, Nasal congestion, Pain in extremity — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Eye twitching, arm and under vaccine arm pain/stiffness, chest pain, nasal congestion, coughingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Body temperature increased, Chills, Cough, Delusion, Dyspnoea, Fall, Feeling cold, Hypoaesthesia, Injection site pain, Joint noise, Lymph node pain, Malaise, Nasal congestion, Pain, Pain in extremity, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Still pain in left arm & under arm near shot. Rotor cough area now clicks with I assume bones touching. Did not input first 2 days because I was extremely ill. Started coughing yesterday. First & 2nd days became semi delusional. Whole body went numb, & painful, fell walking. I was freezing had 3 thick winter coats on inside and still cold. My temperature changed constantly, 101.9 then 97., fell going up steps. Could not breath. This app does not allow you to add previous days. During 1st shot, had major chills, pain at site and lymph nodes under shot arm, clicking rotator cuff area, and major nasal congestion. Please edit my file with this info. Question this data everyone inputs has no sortation for people on certain medications . For example i take a biologic that affects certain IL and affects my immune function.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Blepharospasm, Confusional state, Ear discomfort, Feeling abnormal, Hypoaesthesia, Musculoskeletal stiffness, Nasal congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chronic left arm and underarm stiffness on shot side, twitching eyes, head fog/confusion, nose congestion, ear blockage feeling, & entire numbness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 7, dose 2MedDRA: Depressed mood, Depression, Lethargy, Pain in extremity, Vomiting — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Same arm pain but getting better, last night I threw up a minut amount (but not from stomach pain, I rarely throw up). I am starting to feel healthier, but during this entire vaccine phase have been sad/depressed & lethargic (not normalfor me).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
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2021-04-22
Survey response — day 35, dose 2MedDRA: Fatigue, Hypersomnia, Hypoaesthesia, Injection site pain — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Extensive, excruciating pain in area where shot was given. This past week my whole body felt numb & have been extremely exhausted & sleeping daily.I took biologic Tremfya & am concerned it may have interacted with the Moderna covid-19 vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — day 42, dose 2MedDRA: Fatigue, Injection site pain, Middle insomnia, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still sharp/severe pain in injection site, wakes me up when aspleep. Taking meds for pain. Very tired. Felt much worse after taking Tremfyia biologic (original problems that arose after vaccine shots all came back).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
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2021-08-18
Dose 3 — Moderna
- 2021-09-14
- 2021-09-15
- 2021-09-22
- 2021-09-29
- 2021-11-17
- 2022-08-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-08-18 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Under left arm (injection side) lymp node pain
Systemic reaction (other): Eye twitching, arm and under vaccine arm pain/stiffness, chest pain, nasal congestion, coughing
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Still pain in left arm & under arm near shot. Rotor cough area now clicks with I assume bones touching. Did not input first 2 days because I was extremely ill. Started coughing yesterday. First & 2nd days became semi delusional. Whole body went numb, & painful, fell walking. I was freezing had 3 thick winter coats on inside and still cold. My temperature changed constantly, 101.9 then 97., fell going up steps. Could not breath. This app does not allow you to add previous days. During 1st shot, had major chills, pain at site and lymph nodes under shot arm, clicking rotator cuff area, and major nasal congestion. Please edit my file with this info. Question this data everyone inputs has no sortation for people on certain medications . For example i take a biologic that affects certain IL and affects my immune function.
Systemic reaction (other): Chronic left arm and underarm stiffness on shot side, twitching eyes, head fog/confusion, nose congestion, ear blockage feeling, & entire numbness.
Release 6 — day 7, dose 2
Systemic reaction (other): Same arm pain but getting better, last night I threw up a minut amount (but not from stomach pain, I rarely throw up). I am starting to feel healthier, but during this entire vaccine phase have been sad/depressed & lethargic (not normalfor me).
Release 7 — day 35, dose 2
Symptoms: Extensive, excruciating pain in area where shot was given. This past week my whole body felt numb & have been extremely exhausted & sleeping daily.I took biologic Tremfya & am concerned it may have interacted with the Moderna covid-19 vaccine.
Release 8 — day 42, dose 2
Symptoms: Still sharp/severe pain in injection site, wakes me up when aspleep. Taking meds for pain. Very tired. Felt much worse after taking Tremfyia biologic (original problems that arose after vaccine shots all came back).
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypersomnia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Middle insomnia | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Blepharospasm | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Confusional state | ✓ | ✓ | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Delusion | ✓ | ✓ | ✓ |
| SRO | Depressed mood | ✓ | ✓ | ✓ |
| SRO | Depression | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Fall | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Joint noise | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release