Z2W-13421-03563
2 vaccinations
2 coded responses
14 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 545 / WI
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-03-03
Registered in v-safe
-
2021-03-03
Survey response — day 21, dose 1MedDRA: Immunisation reaction, Injection site pruritus — Feeling: GoodFree text: I was late to register. I did have COVID arm on the arm with the injection with itchiness for about a week. It was a bit itchy at the injection site originally -and then flared up more so a few days after and lasted almost a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-04
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2021-04-11
Survey response — day 35, dose 2MedDRA: Musculoskeletal stiffness, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: General itchiness of my neck in the last couple weeks but didnt thinking could be vaccine related. Figured it might be worth mentioning. Also have had a stiff neck this weekend, but their is likely related to some weight lifting or how I slept.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna |
Free text
Release 5 — day 21, dose 1
Symptoms: I was late to register. I did have COVID arm on the arm with the injection with itchiness for about a week. It was a bit itchy at the injection site originally -and then flared up more so a few days after and lasted almost a week.
Release 7 — day 35, dose 2
Symptoms: General itchiness of my neck in the last couple weeks but didnt thinking could be vaccine related. Figured it might be worth mentioning. Also have had a stiff neck this weekend, but their is likely related to some weight lifting or how I slept.
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 | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release