ZAH-49925-05502
3 vaccinations
10 coded responses
27 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 547 / WI
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-22
Dose 1 — Moderna
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2021-03-23
Registered in v-safe
- 2021-03-23
- 2021-03-24
- 2021-03-25
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea exertional — Feeling: GoodFree text: Feel a little out of breath when walking up steps or walking a distanceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Dyspnoea exertional — Feeling: Good · Site: ItchingFree text: Just a bit short of breath when going uo steps or walking fastMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
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2021-03-29
Survey response — day 7, dose 1MedDRA: Back pain — Feeling: Good · Site: Pain, Itching · Muscle or body achesFree text: Upper back muscle or something aching on side body that i had injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-12
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2021-04-19
Dose 2 — Moderna
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2021-04-19
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Fever · Muscle or body achesFree text: Usual temp is 97 but its now 99MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Tremor — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches · Be unable to work, Be unable to do your normal daily activitiesFree text: normal temp is usually 97 but wss 99.6 .Had extreme shaking and chills for hours and layed in bed and froze.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, DiarrheaAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-25
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
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2021-07-19
Survey response — 3 months, dose 2MedDRA: Headache — Feeling: FairFree text: A few headaches, not sure if from allergies or what.MedDRA releases: 2024-11 · check-in free text available
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2021-10-18
Survey response — 6 months, dose 2MedDRA: Arthralgia, Emergency care, Gait disturbance, Venous stenosis — Feeling: Good · Be unable to do your normal daily activitiesFree text: My one knee was hurting idk why. Had hard time walking on it so i went to er and they said it might have a narrow vein, lasted like three weeks and mostly better now. I didnt do anything to injure it.MedDRA releases: 2024-11 · check-in free text available
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2021-12-27
Dose 3 — Moderna
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2022-01-25
Survey response — day 28, dose 3MedDRA: Heart rate increased, Hypertension — Feeling: GoodFree text: After having the 3rd booster, my blood pressure went crazy high. My usual is around 110 over 70 and it went to 150 over 100. Resting pulse is usually 80 and it went to 110. Also temperature went up one point.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-31
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2022-02-07
Survey response — day 42, dose 3MedDRA: Discomfort, Increased upper airway secretion, Injection site pruritus, Rhinorrhoea, Sneezing — Feeling: FairFree text: Last time i said i was good, but actually i had been having gunky throat and lots of sneezing. Last week i had runny nose few days. And my arm has been itching alot near vaccination location. Still been sneezing lots and never been so much pressureMedDRA releases: 2024-11 · check-in free text available
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2022-06-28
Survey response — 6 months, dose 3MedDRA: Arthralgia, Arthropathy, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have ankle issue with the back of my foot with it hurting when I walk on it and as I walked on it awhile it's okay, like is a muscle or something. started like a month after booster cuz I never did anything to hurt itMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-19 | Moderna | |
| 3 | 2021-12-27 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Feel a little out of breath when walking up steps or walking a distance
Systemic reaction (other): Just a bit short of breath when going uo steps or walking fast
Release 6 — day 7, dose 1
Systemic reaction (other): Upper back muscle or something aching on side body that i had injection
Release 7 — day 0, dose 2
Systemic reaction (other): Usual temp is 97 but its now 99
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): normal temp is usually 97 but wss 99.6 .Had extreme shaking and chills for hours and layed in bed and froze.
Release 9 — 3 months, dose 2
Symptoms: A few headaches, not sure if from allergies or what.
Release 10 — 6 months, dose 2
Symptoms: My one knee was hurting idk why. Had hard time walking on it so i went to er and they said it might have a narrow vein, lasted like three weeks and mostly better now. I didnt do anything to injure it.
Release 11 — day 28, dose 3
Symptoms: After having the 3rd booster, my blood pressure went crazy high. My usual is around 110 over 70 and it went to 150 over 100. Resting pulse is usually 80 and it went to 110. Also temperature went up one point.
Release 11 — day 42, dose 3
Symptoms: Last time i said i was good, but actually i had been having gunky throat and lots of sneezing. Last week i had runny nose few days. And my arm has been itching alot near vaccination location. Still been sneezing lots and never been so much pressure cut off by CDC
Release 12 — 6 months, dose 3
Symptoms: I have ankle issue with the back of my foot with it hurting when I walk on it and as I walked on it awhile it's okay, like is a muscle or something. started like a month after booster cuz I never did anything to hurt it
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 | Arthralgia | · | · | ✓ |
| SD | Arthropathy | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Emergency care | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Increased upper airway secretion | · | · | ✓ |
| SD | Injection site pruritus | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Venous stenosis | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspnoea exertional | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release