ZEZ-32788-01235
4 vaccinations
3 coded responses
49 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 775 / TX
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
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2021-03-03
Dose 1 — Moderna
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2021-03-03
Survey response — day 0, dose 1MedDRA: Immediate post-injection reaction, Paraesthesia — Feeling: Good · Site: PainFree text: I have had a tingling feeling in my entire left arm, which is the arm where I got the vaccine, since about five minutes post-vaccine. It feels somewhat like my left arm is usually asleep. The palm of my hand and wrist tingle as well. It is more mild five hours post-vaccine, but still present. No weakness or anything though.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Redness, SwellingFree text: A little residual tingling in the left arm and palm of my hand, but very very mild. Less than yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
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2021-03-12
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-03-17
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Injection site urticaria, Rash papular — Feeling: GoodFree text: Skin reaction at day 8 through day 12 post-vaccination. Large, swollen, extremely itchy, raised red welt across entire upper arm surrounding vaccination site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
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2021-03-31
Dose 2 — Moderna
- 2021-03-31
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2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-06-30
- 2021-09-29
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2021-12-03
Dose 3 — Moderna
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2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, NauseaAdult check-in
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2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-12-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-01-02
- 2022-01-09
- 2022-01-14
- 2022-03-06
- 2022-06-09
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2022-10-28
Dose 4 — ModernaCo-administered: Flu
- 2022-10-28
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2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-30
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
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2022-10-31
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-11-02
- 2022-11-04
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-02
- 2022-12-09
- 2023-01-29
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-03-31 | Moderna | |
| 3 | 2021-12-03 | Moderna | No |
| 4 | 2022-10-28 | Moderna | Flu |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I have had a tingling feeling in my entire left arm, which is the arm where I got the vaccine, since about five minutes post-vaccine. It feels somewhat like my left arm is usually asleep. The palm of my hand and wrist tingle as well. It is more mild five hours post-vaccine, but still present. No weakness or anything though.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): A little residual tingling in the left arm and palm of my hand, but very very mild. Less than yesterday.
Release 5 — day 14, dose 1
Symptoms: Skin reaction at day 8 through day 12 post-vaccination. Large, swollen, extremely itchy, raised red welt across entire upper arm surrounding vaccination site.
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 | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site urticaria | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release