ZCK-14551-49045
2 vaccinations
7 coded responses
18 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 117 / NY
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-30
Registered in v-safe
-
2021-01-30
Dose 1 — Moderna
- 2021-01-30
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Self-medication — Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Felt like I might get a fever when I had chills. Took 2 Tylenol. Chills went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site rash, Injection site swelling — Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Rash is about 2 inches below vaccination site as is swellingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth, Self-medication — Feeling: Good · Site: Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Area around site not red but warm. Put cortizone on it helped. Its getting better but concern about side effects of second vaccine. Can I prophylactic with Tylenol before second vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — day 7, dose 1MedDRA: Injection site pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: I itched once below site of vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-20
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2021-02-27
Dose 2 — Moderna
- 2021-02-27
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Chills bad but no feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pyrexia — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Yesterday after check in fever and terrible chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-03
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
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2021-03-06
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-20
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2021-03-28
Survey response — day 28, dose 2MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activitiesFree text: FatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-30 | Moderna | |
| 2 | 2021-02-27 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Felt like I might get a fever when I had chills. Took 2 Tylenol. Chills went away
Systemic reaction (other): Rash is about 2 inches below vaccination site as is swelling
Systemic reaction (other): Area around site not red but warm. Put cortizone on it helped. Its getting better but concern about side effects of second vaccine. Can I prophylactic with Tylenol before second vaccine
Release 3 — day 7, dose 1
Systemic reaction (other): I itched once below site of vaccine
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Chills bad but no fever
Systemic reaction (other): Yesterday after check in fever and terrible chills
Release 6 — day 28, dose 2
Symptoms: Fatigue
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 | Fatigue | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release