Z9N-23681-09985
4 vaccinations
7 coded responses
28 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-13
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Registered in v-safe
-
2021-01-13
Dose 1 — Moderna
- 2021-01-13
- 2021-01-14
-
2021-01-15
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Only soreness of arm/injection site dissipating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Sleep disorder — Feeling: Good · Site: PainFree text: Stabbing pain of arm awakened me this a.m. Mild intermittent pain followed but presently not a problem.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-18
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity, Sleep disorder — Feeling: Good · Site: PainFree text: A stabbing pain in my arm wakes me up and continues sporadically for a time. It mostly subsides when I get up and start moving about. The pain started Saturday three days after I received the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
- 2021-01-29
- 2021-02-04
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Lethargy, Somnolence — Feeling: Good · Fatigue or tirednessFree text: Lethargic and sleepy one day following 2nd vaccine. Generally feel well.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-16
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-03-28
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2021-05-14
Survey response — 3 months, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: My left arm where I received the vaccine hurts sporadically and intensely at times. I have noticed that it hurts more severely when I am in bed at night and when I consume alcohol although that is not the only time that it hurts. Has been some time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-12
-
2021-11-04
Dose 3 — Pfizer-BioNTech
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2022-02-12
Survey response — 12 months, dose 2MedDRA: Injection site pain, Reaction to previous exposure to any vaccine — Feeling: FairFree text: For months have experienced severe pain in my left arm site of first two vaccines. Moderna. Also in right arm site of booster by Pfizer. Wakes me up late night. Getting increasingly worse. Please advise. Becoming really concerned!MedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Dose 4 — Pfizer-BioNTech
- 2022-04-27
- 2022-05-02
- 2022-05-08
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2022-05-15
Survey response — day 35, dose 4MedDRA: Diarrhoea, Influenza like illness, SARS-CoV-2 test negative — Feeling: GoodFree text: Diarrhea after traveling out of state for Mother's Day weekend along with very mild flu like symptoms for a couple of days. Aunt went to ER due to sinus infection and bladder infection while traveling. We both tested NEGATIVE for Covidno more syMedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-10-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-11-04 | Pfizer-BioNTech | No |
| 4 | 2022-04-09 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Only soreness of arm/injection site dissipating.
Systemic reaction (other): Stabbing pain of arm awakened me this a.m. Mild intermittent pain followed but presently not a problem.
Systemic reaction (other): A stabbing pain in my arm wakes me up and continues sporadically for a time. It mostly subsides when I get up and start moving about. The pain started Saturday three days after I received the vaccine.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Lethargic and sleepy one day following 2nd vaccine. Generally feel well.
Release 8 — 3 months, dose 2
Symptoms: My left arm where I received the vaccine hurts sporadically and intensely at times. I have noticed that it hurts more severely when I am in bed at night and when I consume alcohol although that is not the only time that it hurts. Has been some time. cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: For months have experienced severe pain in my left arm site of first two vaccines. Moderna. Also in right arm site of booster by Pfizer. Wakes me up late night. Getting increasingly worse. Please advise. Becoming really concerned!
Release 11 — day 35, dose 4
Symptoms: Diarrhea after traveling out of state for Mother's Day weekend along with very mild flu like symptoms for a couple of days. Aunt went to ER due to sinus infection and bladder infection while traveling. We both tested NEGATIVE for Covidno more sy
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 | Diarrhoea | · | · | ✓ |
| SD | Influenza like illness | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release