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
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2021-03-18
Dose 1 — Moderna
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2021-04-15
Registered in v-safe
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2021-04-15
Dose 2 — Moderna
- 2021-04-15
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-21
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2021-04-24
Survey response — day 7, dose 2MedDRA: Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree 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
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2021-04-29
Survey response — day 14, dose 2MedDRA: Migraine, Nausea — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Migraine and nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-15
- 2021-05-20
- 2021-05-27
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2021-07-15
Survey response — 3 months, dose 2MedDRA: Headache, Pre-existing disease, Rash — Feeling: Fair · Be unable to do your normal daily activitiesFree 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
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2021-10-14
Survey response — 6 months, dose 2MedDRA: Chest pain, Headache, Rash — Feeling: FairFree 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
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2022-04-15
Survey response — 12 months, dose 2MedDRA: Headache, Injection site pain — Feeling: Good · Be unable to do your normal daily activitiesFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Free text
Release 7 — day 7, dose 2
Systemic reaction (other): I've had itching on my left hand/knuckles, but that's it.
Release 8 — day 14, dose 2
Symptoms: Migraine and nausea
Release 9 — 3 months, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chest pain | · | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Rash | ✓ | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release