Z9V-71289-02657
2 vaccinations
8 coded responses
25 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 930 / CA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
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2021-02-07
Registered in v-safe
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Migraine, Pre-existing disease — Feeling: Good · Site: Pain · HeadacheFree text: I got a migraine but dont know if related to vaccine I get migraines no and then from stressMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: The itching is extremely minor and comes and goes very quickly at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: My arm felt a little achy this morning but its been gone the whole rest of the dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-12
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2021-02-13
Survey response — day 7, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: The pain I feel at the injection site is just sporadic, sometimes Ill feel a quick little ache feeling a couple of time and then its gone. Felt it a little last night and then quickly this afternoon now its gone. Otherwise it feels fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
- 2021-02-27
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2021-03-06
Dose 2 — Moderna
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2021-03-06
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: I just had the shot an hour and a half agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Just feel a little off, not sure whether its the shot or just me :) nothing horrible though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
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2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at injection site is very mild just fyiMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm pain almost goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
- 2022-03-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): I got a migraine but dont know if related to vaccine I get migraines no and then from stress
Systemic reaction (other): The itching is extremely minor and comes and goes very quickly at the injection site
Systemic reaction (other): My arm felt a little achy this morning but its been gone the whole rest of the day
Release 4 — day 7, dose 1
Systemic reaction (other): The pain I feel at the injection site is just sporadic, sometimes Ill feel a quick little ache feeling a couple of time and then its gone. Felt it a little last night and then quickly this afternoon now its gone. Otherwise it feels fine.
Release 5 — day 0, dose 2
Systemic reaction (other): I just had the shot an hour and a half ago
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Just feel a little off, not sure whether its the shot or just me :) nothing horrible though.
Systemic reaction (other): Pain at injection site is very mild just fyi
Systemic reaction (other): Arm pain almost gone
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release