ZAR-93618-77393
3 vaccinations
4 coded responses
31 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 462 / IN
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-23
Registered in v-safe
- 2021-03-23
- 2021-03-25
- 2021-04-01
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2021-04-08
Dose 2 — Moderna
- 2021-04-08
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2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body achesAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Headache, DiarrheaAdult check-in
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Nausea, Diarrhea, Abdominal painAdult check-in
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
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2021-07-10
Survey response — 3 months, dose 2MedDRA: Breast cyst — Feeling: GoodFree text: A little over Two months after my second shot they discovered a cyst cluster in my breast same side as the arm I got my shots. Could be coincidence.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-07
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2021-12-07
Dose 3 — Moderna
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2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
- 2021-12-10
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2021-12-12
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Pain in extremity, Self-medication — Feeling: Fair · Site: PainFree text: My entire arm really aches. Almost like nerve pain. Tylenol usually takes care of pain but it comes back. Pretty significant pain all the way down to the fingers. Not just at the site. Weird.MedDRA releases: 2024-11 · check-in free text available
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2021-12-13
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: The full arm pain that has been pretty intense the past few days has lessened today. Still there but not as intense.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-01-04
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2022-01-11
Survey response — day 35, dose 3MedDRA: Oropharyngeal pain, Respiratory tract congestion, Throat irritation — Feeling: GoodFree text: Sore scratchy throat and some congestionMedDRA releases: 2024-11 · check-in free text available
- 2022-01-18
- 2022-03-08
- 2022-06-09
- 2022-12-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-12-07 | Moderna | No |
Free text
Release 9 — 3 months, dose 2
Symptoms: A little over Two months after my second shot they discovered a cyst cluster in my breast same side as the arm I got my shots. Could be coincidence.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): My entire arm really aches. Almost like nerve pain. Tylenol usually takes care of pain but it comes back. Pretty significant pain all the way down to the fingers. Not just at the site. Weird.
Systemic reaction (other): The full arm pain that has been pretty intense the past few days has lessened today. Still there but not as intense.
Release 10 — day 35, dose 3
Symptoms: Sore scratchy throat and some congestion
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 | Breast cyst | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release