ZCX-18035-77687
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 921 / CA
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-17
-
2021-01-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Dysphagia, Pharyngeal swelling — Feeling: Good · Site: PainFree text: Today my throat were a bit swollen, it bothered when passing saliva or liquids. But very mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-31
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-23
Dose 2 — Moderna
-
2021-02-23
Health check-in — day 0, dose 2Feeling: Good · Site: Swelling · Joint pains, Fatigue or tirednessAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Limb discomfort, Myalgia, Pain in extremity — Feeling: Good · Site: Pain · Muscle or body achesFree text: I realized that my left leg was painful on and off, I got my shot on the left arm. Today, now that my muscle aches are mild I still have the same painful process with the left leg. It feels heavier than the right leg.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · HeadacheAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
-
2021-03-09
Survey response — day 14, dose 2MedDRA: Dyspnoea, Facial pain, Headache, Paranasal sinus inflammation — Feeling: Good · Be unable to do your normal daily activitiesFree text: My sinus was inflamed 7 days after vaccine injection. I had headache and facial pain on and off and it was hard to breath during sleep time. Not sure if related, it has been resolved by now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-23 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Today my throat were a bit swollen, it bothered when passing saliva or liquids. But very mild
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I realized that my left leg was painful on and off, I got my shot on the left arm. Today, now that my muscle aches are mild I still have the same painful process with the left leg. It feels heavier than the right leg.
Release 5 — day 14, dose 2
Symptoms: My sinus was inflamed 7 days after vaccine injection. I had headache and facial pain on and off and it was hard to breath during sleep time. Not sure if related, it has been resolved by now.
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 | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Facial pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Paranasal sinus inflammation | ✓ | ✓ | ✓ |
| SRO | Dysphagia | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pharyngeal swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release