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ZEK-14182-27659

3 vaccinations 7 coded responses 13 check-ins 7 free-text entries 2 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
601 / IL
Registered
2021-05-17
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-15
    Dose 1 — Moderna
  2. 2021-05-15
    Dose 2 — Moderna
  3. 2021-05-17
    Registered in v-safe
  4. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Diarrhea · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Adult check-in
  5. 2021-05-18
    Report sent to call center — days 1–6 daily, dose 2
    Get care from a doctor or other healthcare professional
    1 call case(s)
  6. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  7. 2021-06-15
    Survey response — day 28, dose 2
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Random itching at the sight of injection, no swelling, no redness. Not problematic just weird.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-21
    Survey response — day 35, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Fair
    Free text: Tiredness - If I dont stand up I feel very fatigued
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2022-03-26
    Dose 3 — Moderna
  10. 2022-03-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blood glucose increased — Feeling: Poor · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Blood Sugar spiked
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-03-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blood glucose increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Blood Sugar spiked
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-04
    Health check-in — day 7, dose 3
    Feeling: Fair · Site: Itching · Chills, Joint pains
    Adult check-in
  13. 2022-04-11
    Survey response — day 14, dose 3
    MedDRA: Pruritus — Feeling: Fair
    Free text: Itch has gone to the other arm I guess and now both arms are itching. No rash, I'm not scratching it when it itches but I do rub it to stop the itch. Seeing a Doctor on Friday.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-04-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-04-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-04-30
    Survey response — day 35, dose 3
    MedDRA: Pruritus — Feeling: Fair
    Free text: Itching comes and goes, nothing serious just annoying seeing that I only started getting this after the series of shots.
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-05-04
  18. 2022-05-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  19. 2022-06-27
    Survey response — 3 months, dose 3
    MedDRA: Joint swelling — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation
    Free text: I don't believe it is related-swelling around the ankles.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-06-27
    Report sent to call center — 3 months, dose 3
    Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · 1 call case(s)
  21. 2022-06-28
  22. 2022-06-28

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-15Moderna
32022-03-26Moderna No

Call center

ReportedOutcomeVAERS-related outcome
2021-05-18 Unsuccessful
2022-06-27 Unsuccessful

Free text

Release 9 — day 28, dose 2

2021-06-15

Symptoms: Random itching at the sight of injection, no swelling, no redness. Not problematic just weird.

Release 9 — day 35, dose 2

2021-06-21

Symptoms: Tiredness - If I dont stand up I feel very fatigued

Release 11 — days 1–6 daily, dose 3

2022-03-28

Systemic reaction (other): Blood Sugar spiked

2022-03-29

Systemic reaction (other): Blood Sugar spiked

Release 11 — day 14, dose 3

2022-04-11

Symptoms: Itch has gone to the other arm I guess and now both arms are itching. No rash, I'm not scratching it when it itches but I do rub it to stop the itch. Seeing a Doctor on Friday.

Release 11 — day 35, dose 3

2022-04-30

Symptoms: Itching comes and goes, nothing serious just annoying seeing that I only started getting this after the series of shots.

Release 12 — 3 months, dose 3

2022-06-27

Symptoms: I don't believe it is related-swelling around the ankles.

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
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDJoint swelling · · ✓
SDPruritus · · ✓
SROBlood glucose increased · · ✓

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