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Z4A-24803-79849

3 vaccinations 5 coded responses 40 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
601 / IL
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-21
    Registered in v-safe
  2. 2021-03-21
    Dose 1 — Moderna
  3. 2021-03-21
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches
    Adult check-in
  9. 2021-03-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-04
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Erythema, Immunisation reaction, Myalgia, Pruritus, Sleep deficit — Feeling: Good
    Free text: 3/29 - Covid arm appeared on my left arm, was red and itchy. Dissipated by 4/2 and is still itchy from time to time. 3/28 through 4/1 had myalgia in upper back and should blades. Was enough to make me sleep flat for 3 days. Joint pain ankles/wrist
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-18
    Dose 2 — Moderna
  14. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunisation reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches
    Free text: Covid Arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Immunisation reaction — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches
    Free text: Covid Arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches
    Adult check-in
  17. 2021-04-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches
    Adult check-in
  18. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Headache, Joint pains, Muscle or body aches
    Adult check-in
  19. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Muscle or body aches
    Adult check-in
  20. 2021-04-25
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Headache, Joint pains, Muscle or body aches
    Adult check-in
  21. 2021-05-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-17
    Survey response — 6 months, dose 2
    MedDRA: Anxiety, Pre-existing disease, Unevaluable event — Feeling: Good
    Free text: My menstrual cycle has started to get back to normal but for 3-4 months after my 2nd shot I experienced a change in PMS with a higher amount of anxiety. Historically, I experienced very little PMS symptoms.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-11-08
    Dose 3 — Moderna
  29. 2021-11-08
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  30. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2021-11-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Immunisation reaction, Reaction to previous exposure to any vaccine, Vaccine positive rechallenge — Feeling: Good · Site: Redness, Swelling, Itching · Joint pains
    Free text: Covid arm. Smaller than my first two shots.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling · None
    Adult check-in
  33. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-13
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-05-09
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-11-08
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-21Moderna
22021-04-18Moderna
32021-11-08Moderna No

Free text

Release 6 — day 14, dose 1

2021-04-04

Symptoms: 3/29 - Covid arm appeared on my left arm, was red and itchy. Dissipated by 4/2 and is still itchy from time to time. 3/28 through 4/1 had myalgia in upper back and should blades. Was enough to make me sleep flat for 3 days. Joint pain ankles/wrist

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Covid Arm

2021-04-20

Systemic reaction (other): Covid Arm

Release 10 — 6 months, dose 2

2021-10-17

Symptoms: My menstrual cycle has started to get back to normal but for 3-4 months after my 2nd shot I experienced a change in PMS with a higher amount of anxiety. Historically, I experienced very little PMS symptoms.

Release 10 — days 1–6 daily, dose 3

2021-11-10

Systemic reaction (other): Covid arm. Smaller than my first two shots.

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

FieldPreferred term2021-092023-042024-11
SDAnxiety · · ✓
SDArthralgia ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDImmunisation reaction ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDPre-existing disease · · ✓
SDPruritus ✓ ✓ ✓
SDSleep deficit ✓ ✓ ✓
SDUnevaluable event · · ✓
SROImmunisation reaction ✓ ✓ ✓
SROReaction to previous exposure to any vaccine · · ✓
SROVaccine positive rechallenge · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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