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ZC2-17102-54598

3 vaccinations 2 coded responses 25 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
207 / MD
Registered
2021-01-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-03
    Registered in v-safe
  3. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  6. 2021-01-13
    Survey response — day 14, dose 1
    MedDRA: Chills, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth, Pain — Feeling: Good
    Free text: On 1/6/2021 I experienced induration around the injection site. This swelled up to the size of a baseball. It was red, hot and very itchy. The majority of it resolved 1/10 but it still slightly pink and swollen. Tmax 99.9, body aches, chills resolved
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-01-27
    Dose 2 — Moderna
  9. 2021-01-27
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  10. 2021-01-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Loss of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  12. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  13. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea, Abdominal pain
    Adult check-in
  14. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Headache, Nausea
    Adult check-in
  15. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Muscle or body aches, Nausea
    Adult check-in
  16. 2021-02-03
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  17. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-02-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-08
    Dose 3 — Moderna
  25. 2021-10-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-10-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-07
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-01-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-04-08
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna
32021-10-08Moderna No

Free text

Release 1 — day 14, dose 1

2021-01-13

Symptoms: On 1/6/2021 I experienced induration around the injection site. This swelled up to the size of a baseball. It was red, hot and very itchy. The majority of it resolved 1/10 but it still slightly pink and swollen. Tmax 99.9, body aches, chills resolved cut off by CDC

Release 2 — days 1–6 daily, dose 2

2021-01-28

Systemic reaction (other): Loss of appetite

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
SDChills ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPain ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓

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