ZCC-14369-99794
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 613 / IL
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
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2021-01-22
Dose 1 — Moderna
- 2021-01-22
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2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rash — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash - the side of my neck has been itching. The side I got my shot onMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: PainFree text: Neck still itches a little - no obvious rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-05
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2021-02-12
Survey response — day 21, dose 1MedDRA: Fatigue, Headache, Nasal discomfort — Feeling: FairFree text: Headache, swollen nasal cavity, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Dose 2 — Moderna
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2021-02-19
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tirednessAdult check-in
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-02-26
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2021-03-05
Survey response — day 14, dose 2MedDRA: Ageusia, Anosmia, Hypersensitivity, Respiratory tract congestion, Throat tightness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Since getting my vaccination, I have had 2 fairly severe allergic reactions to the chemicals I use to do my nails. I did not have any reactions prior to. My airway was restricted and I was severely congested and couldn't smell or taste for 24+ hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2022-02-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Rash - the side of my neck has been itching. The side I got my shot on
Systemic reaction (other): Neck still itches a little - no obvious rash
Release 4 — day 21, dose 1
Symptoms: Headache, swollen nasal cavity, fatigue
Release 5 — day 14, dose 2
Symptoms: Since getting my vaccination, I have had 2 fairly severe allergic reactions to the chemicals I use to do my nails. I did not have any reactions prior to. My airway was restricted and I was severely congested and couldn't smell or taste for 24+ hours cut off by CDC
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 | Ageusia | ✓ | ✓ | ✓ |
| SD | Anosmia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Nasal discomfort | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Throat tightness | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release