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ZA7-18772-85618

2 vaccinations 5 coded responses 13 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
956 / CA
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Moderna
  2. 2021-04-15
    Registered in v-safe
  3. 2021-04-15
    Dose 2 — Moderna
  4. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-24
    Survey response — day 7, dose 2
    MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: I've had itching on my left hand/knuckles, but that's it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-29
    Survey response — day 14, dose 2
    MedDRA: Migraine, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: Migraine and nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-15
    Health check-in — day 28, dose 2
    Feeling: Poor
    Adult check-in
  12. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-15
    Survey response — 3 months, dose 2
    MedDRA: Headache, Pre-existing disease, Rash — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I get more headaches than usual, and I started getting a little rash in the crook of my left arm. The same arm I received both vaccinations.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  15. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: Chest pain, Headache, Rash — Feeling: Fair
    Free text: I have headaches on a regular basis, and I developed a rash under my left armpit in the same arm I received both vaccines. I've also been getting weird sharp pain in my chest on the left side.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-15
    Survey response — 12 months, dose 2
    MedDRA: Headache, Injection site pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Continue to have severe pain in my left arm where I received both vaccines. The headaches aren't as bad as they were.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna

Free text

Release 7 — day 7, dose 2

2021-04-24

Systemic reaction (other): I've had itching on my left hand/knuckles, but that's it.

Release 8 — day 14, dose 2

2021-04-29

Symptoms: Migraine and nausea

Release 9 — 3 months, dose 2

2021-07-15

Symptoms: I get more headaches than usual, and I started getting a little rash in the crook of my left arm. The same arm I received both vaccinations.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: I have headaches on a regular basis, and I developed a rash under my left armpit in the same arm I received both vaccines. I've also been getting weird sharp pain in my chest on the left side.

Release 11 — 12 months, dose 2

2022-04-15

Symptoms: Continue to have severe pain in my left arm where I received both vaccines. The headaches aren't as bad as they were.

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
SDChest pain · · ✓
SDHeadache ✓ · ✓
SDInjection site pain · · ✓
SDMigraine ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SDRash ✓ · ✓
SROPruritus ✓ ✓ ✓

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