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ZC9-54632-64070

3 vaccinations 10 coded responses 28 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
303 / GA
Registered
2021-01-16
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-16
    Registered in v-safe
  2. 2021-01-16
    Dose 1 — Moderna
  3. 2021-01-16
    Survey response — day 0, dose 1
    MedDRA: Arrhythmia — Feeling: Good · Site: Pain, Itching
    Free text: There was a period of time where I felt like I was having some mild heart dysrhythmia, but it subsided quickly and may have been completely unrelated. It wasnt due to anxiety regarding the shot, because I am thoroughly RELIEVED to have gotten it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Pain at the injection site impeded my sleeping on my side, but didnt affect my activity during waking hours. I also didnt follow the advice I give about moving arms after an injection to prevent soreness, so theres that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-13
    Dose 2 — Moderna
  12. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Swelling, Itching
    Free text: Runny nose. Onset 2/15/21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good · Be unable to work
    Free text: Runny nose. Like a faucet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal disorder — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Nasal symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Upper-airway cough syndrome — Feeling: Good
    Free text: Post nasal drip issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nasal disorder — Feeling: Good
    Free text: Nasal symptoms
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-20
    Survey response — day 7, dose 2
    MedDRA: Nasal congestion — Feeling: Good
    Free text: Nasal congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-27
    Survey response — day 14, dose 2
    MedDRA: Auscultation, Chest pain — Feeling: Good
    Free text: Not sure if its related, but Ive had chest pain recently. Randomly. Ive auscultation my chest and I didnt hear any abnormalities in my heart or breathing. My blood pressure is normal. It has happened daily for the past week or so.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-30
    Dose 3 — Moderna
  26. 2021-11-03
    Survey response — days 1–6 daily, dose 3
    MedDRA: Insomnia, Pain, Pyrexia — Feeling: Fair · Site: Pain
    Free text: On the day after my vaccine, I was feverish, had body aches, and had wakeful times of maximum 2 hours at a time with sleep periods from 4-12 hours. It went on on the 31st and the 1st.
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Diarrhea
    Adult check-in
  28. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-08
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-13
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-04-30
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-16Moderna
22021-02-13Moderna
32021-10-30Moderna No

Free text

Release 2 — day 0, dose 1

2021-01-16

Systemic reaction (other): There was a period of time where I felt like I was having some mild heart dysrhythmia, but it subsided quickly and may have been completely unrelated. It wasnt due to anxiety regarding the shot, because I am thoroughly RELIEVED to have gotten it.

Release 2 — days 1–6 daily, dose 1

2021-01-17

Systemic reaction (other): Pain at the injection site impeded my sleeping on my side, but didnt affect my activity during waking hours. I also didnt follow the advice I give about moving arms after an injection to prevent soreness, so theres that.

Release 4 — days 1–6 daily, dose 2

2021-02-15

Systemic reaction (other): Runny nose. Onset 2/15/21

2021-02-16

Systemic reaction (other): Runny nose. Like a faucet.

2021-02-17

Systemic reaction (other): Nasal symptoms

2021-02-18

Systemic reaction (other): Post nasal drip issues

2021-02-19

Systemic reaction (other): Nasal symptoms

Release 4 — day 7, dose 2

2021-02-20

Systemic reaction (other): Nasal congestion

Release 4 — day 14, dose 2

2021-02-27

Symptoms: Not sure if its related, but Ive had chest pain recently. Randomly. Ive auscultation my chest and I didnt hear any abnormalities in my heart or breathing. My blood pressure is normal. It has happened daily for the past week or so.

Release 10 — days 1–6 daily, dose 3

2021-11-03

Systemic reaction (other): On the day after my vaccine, I was feverish, had body aches, and had wakeful times of maximum 2 hours at a time with sleep periods from 4-12 hours. It went on on the 31st and the 1st.

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
SDAuscultation ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SROArrhythmia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInsomnia · · ✓
SRONasal congestion ✓ ✓ ✓
SRONasal discomfort ○ ○ ○
SRONasal disorder ✓ ✓ ✓
SROPain · · ✓
SROPyrexia · · ✓
SRORhinorrhoea ✓ ✓ ✓
SROUpper-airway cough syndrome ✓ ✓ ✓

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

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