ZDX-33117-64877
4 vaccinations
6 coded responses
27 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 900 / CA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Very minor soreness around shot entry on arm, but not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 1MedDRA: Injection site rash, Injection site warmth — Feeling: GoodFree text: On day 6 and 7 I developed a rash on my arm around the shot area and covering about 4-5 inches in diameter. It stayed for about 3 days in total but didnt hurt and didnt itch, just felt warm to the touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
-
2021-04-29
Dose 2 — Moderna
-
2021-05-06
Survey response — day 7, dose 2MedDRA: Chills, Fatigue, Pyrexia, Rash — Feeling: GoodFree text: Starting 6 hours after my 2nd shot, I had fever and chills for 24 hour, then fatigue and a rash on arm for 36hours, then by 48 hours was back to normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
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2021-10-22
Dose 3 — Moderna
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2021-10-28
Survey response — 6 months, dose 2MedDRA: Fatigue, Injection site rash, Injection site swelling — Feeling: GoodFree text: After my booster shot, fatigue for 24 hours. Also a rash and swelling on my arm near the shot starting 1 day after, but almost gone 5 days later.MedDRA releases: 2024-11 · check-in free text available
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2022-04-24
Dose 4 — Moderna
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2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Site: SwellingFree text: NoneMedDRA releases: 2024-11 · check-in free text available
- 2022-04-29
- 2022-04-30
- 2022-05-08
- 2022-05-15
- 2022-05-22
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2022-05-30
Survey response — day 35, dose 4MedDRA: Chills, Fatigue, Oropharyngeal pain — Feeling: FairFree text: Fatigue, mild sore throat, chills. I am testing negative at the moment but I was informed that I have been exposed to someone who tested positive at work on or around May 26.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-05
- 2022-07-24
- 2022-10-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-24 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Very minor soreness around shot entry on arm, but not painful
Release 7 — day 14, dose 1
Symptoms: On day 6 and 7 I developed a rash on my arm around the shot area and covering about 4-5 inches in diameter. It stayed for about 3 days in total but didnt hurt and didnt itch, just felt warm to the touch
Release 8 — day 7, dose 2
Systemic reaction (other): Starting 6 hours after my 2nd shot, I had fever and chills for 24 hour, then fatigue and a rash on arm for 36hours, then by 48 hours was back to normal.
Release 10 — 6 months, dose 2
Symptoms: After my booster shot, fatigue for 24 hours. Also a rash and swelling on my arm near the shot starting 1 day after, but almost gone 5 days later.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): None
Release 11 — day 35, dose 4
Symptoms: Fatigue, mild sore throat, chills. I am testing negative at the moment but I was informed that I have been exposed to someone who tested positive at work on or around May 26.
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 | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release