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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

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus, Rash — Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Rash - the side of my neck has been itching. The side I got my shot on
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Pain
    Free text: Neck still itches a little - no obvious rash
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  11. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-02-12
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Headache, Nasal discomfort — Feeling: Fair
    Free text: Headache, swollen nasal cavity, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-19
    Dose 2 — Moderna
  14. 2021-02-19
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  15. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Fatigue or tiredness
    Adult check-in
  19. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  20. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  21. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-05
    Survey response — day 14, dose 2
    MedDRA: Ageusia, Anosmia, Hypersensitivity, Respiratory tract congestion, Throat tightness — Feeling: Good · Be unable to do your normal daily activities
    Free 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+ hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-02-21
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-24

Systemic reaction (other): Rash - the side of my neck has been itching. The side I got my shot on

2021-01-25

Systemic reaction (other): Neck still itches a little - no obvious rash

Release 4 — day 21, dose 1

2021-02-12

Symptoms: Headache, swollen nasal cavity, fatigue

Release 5 — day 14, dose 2

2021-03-05

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

FieldPreferred term2021-092023-042024-11
SDAgeusia ✓ ✓ ✓
SDAnosmia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDNasal discomfort ✓ ✓ ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDThroat tightness ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓

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