Z45-13082-93936
1 vaccination
7 coded responses
9 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 970 / OR
- Registered
- 2021-01-08
- Relationship
- Self
Timeline
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2021-01-07
Dose 1 — Moderna
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2021-01-08
Registered in v-safe
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2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Hyperaesthesia — Feeling: Fair · Site: Pain · Chills, Muscle or body achesFree text: Skin sensitivity on the right side of my body from belly button, around my right side stopping at spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin — Feeling: Good · Site: Pain · HeadacheFree text: Skin sensitivity on the right side of my abdomen around to my spine, shot was in my right armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Skin sensitivity to the right side of ABDOMEN around to mid spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin — Feeling: Good · Fatigue or tirednessFree text: Skin sensitivity ABDOMEN right side around back to spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin — Feeling: Fair · HeadacheFree text: Skin sensitivity to right side of abdomenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Sensitive skin — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Skin sensitivity to abdomen right side around to spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-14
Survey response — day 7, dose 1MedDRA: Skin sensitisation — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Skin sensitivity to abdomen right side around to spineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-07 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Skin sensitivity on the right side of my body from belly button, around my right side stopping at spine
Systemic reaction (other): Skin sensitivity on the right side of my abdomen around to my spine, shot was in my right arm
Systemic reaction (other): Skin sensitivity to the right side of ABDOMEN around to mid spine
Systemic reaction (other): Skin sensitivity ABDOMEN right side around back to spine
Systemic reaction (other): Skin sensitivity to right side of abdomen
Systemic reaction (other): Skin sensitivity to abdomen right side around to spine
Release 2 — day 7, dose 1
Systemic reaction (other): Skin sensitivity to abdomen right side around to spine
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 | Hyperaesthesia | ✓ | ✓ | ✓ |
| SRO | Sensitive skin | ✓ | ✓ | ✓ |
| SRO | Skin sensitisation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release