ZBC-27357-03506
2 vaccinations
6 coded responses
21 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 242 / VA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-19
Dose 1 — Moderna
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2021-01-21
Registered in v-safe
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-01-24
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Itching · HeadacheFree text: Bruising appeared at injection site this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
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2021-02-02
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: GoodFree text: I have redeveloped a large swelling and rash that is sore, itchy, and hot to the touch on the injection arm. It began Saturday Jan 30th. It is about 2.5 in diameter.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-09
Survey response — day 21, dose 1MedDRA: Injection site discolouration, Injection site pain — Feeling: GoodFree text: The injection site continues to be sote amd discolored.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — day 28, dose 1MedDRA: Injection site discolouration, Injection site pruritus, Injection site urticaria — Feeling: GoodFree text: Injection site still has some itching at times and a light discoloration under skin where both episodes of whelts had been. Secind shot scheduled for feb 22.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Dose 2 — Moderna
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2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Feeling hot — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I didnt have a temp but have felt hot all over. Feels like my immune system is lit up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Pain, Pyrexia — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Yesterday evening I developed my first fever with body aches and significant fatigur and headache again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-10
- 2021-03-18
- 2021-03-25
- 2021-03-30
- 2021-04-07
- 2021-08-25
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-22 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Bruising appeared at injection site this morning
Release 3 — day 14, dose 1
Symptoms: I have redeveloped a large swelling and rash that is sore, itchy, and hot to the touch on the injection arm. It began Saturday Jan 30th. It is about 2.5 in diameter.
Release 3 — day 21, dose 1
Symptoms: The injection site continues to be sote amd discolored.
Release 4 — day 28, dose 1
Symptoms: Injection site still has some itching at times and a light discoloration under skin where both episodes of whelts had been. Secind shot scheduled for feb 22.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I didnt have a temp but have felt hot all over. Feels like my immune system is lit up.
Systemic reaction (other): Yesterday evening I developed my first fever with body aches and significant fatigur and headache again.
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 | Injection site discolouration | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release