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ZFA-75360-74278

2 vaccinations 5 coded responses 20 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
085 / NJ
Registered
2021-04-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-24
    Registered in v-safe
  2. 2021-04-24
    Dose 1 — Moderna
  3. 2021-04-24
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Nasal congestion — Feeling: Good · Site: Pain
    Free text: About 20-25 minutes after receiving the vaccine, my nose suddenly got stuffy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Joint pains, Fatigue or tiredness
    Adult check-in
  5. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  10. 2021-05-01
    Health check-in — day 7, dose 1
    Feeling: Good · Joint pains
    Adult check-in
  11. 2021-05-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-22
    Dose 2 — Moderna
  14. 2021-05-22
    Survey response — day 0, dose 2
    MedDRA: Hypoaesthesia, Immediate post-injection reaction, Nasal congestion — Feeling: Good · Site: Pain · Joint pains
    Free text: About 20 minutes after the injection, my nose got stuffed up and numb, and remained that way for a while. The same mild allergic reaction happened after the first shot as well.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  16. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  17. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  18. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-06-05
    Survey response — day 14, dose 2
    MedDRA: Injection site pain, Pain, Sleep disorder — Feeling: Good
    Free text: My upper left arm, where I got the vaccine, ached for a few days, especially when sleeping and when lifting my arm. (I thought it had stopped being sore, so it technically got worse.) It has since gotten better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-12
    Survey response — day 21, dose 2
    MedDRA: Mobility decreased — Feeling: Good · Be unable to do your normal daily activities
    Free text: Last Sunday, I realized I have lost a lot of mobility in my left arm, the arm where I had the two vaccine shots. I can't put my left hand on my hip. It hurts to apply deodorant under my left arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-19
    Survey response — day 28, dose 2
    MedDRA: Mobility decreased, Pain in extremity — Feeling: Good · Be unable to do your normal daily activities
    Free text: This question does not allow one to report a problem that has not gotten worse but has also not gotten better. My left arm is still painful, especially at night, and still has a significantly reduced range of motion. From now on, I will answer no.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-24Moderna
22021-05-22Moderna

Free text

Release 7 — day 0, dose 1

2021-04-24

Systemic reaction (other): About 20-25 minutes after receiving the vaccine, my nose suddenly got stuffy.

Release 8 — day 0, dose 2

2021-05-22

Systemic reaction (other): About 20 minutes after the injection, my nose got stuffed up and numb, and remained that way for a while. The same mild allergic reaction happened after the first shot as well.

Release 8 — day 14, dose 2

2021-06-05

Symptoms: My upper left arm, where I got the vaccine, ached for a few days, especially when sleeping and when lifting my arm. (I thought it had stopped being sore, so it technically got worse.) It has since gotten better.

Release 9 — day 21, dose 2

2021-06-12

Symptoms: Last Sunday, I realized I have lost a lot of mobility in my left arm, the arm where I had the two vaccine shots. I can't put my left hand on my hip. It hurts to apply deodorant under my left arm.

Release 9 — day 28, dose 2

2021-06-19

Symptoms: This question does not allow one to report a problem that has not gotten worse but has also not gotten better. My left arm is still painful, especially at night, and still has a significantly reduced range of motion. From now on, I will answer no. cut off by CDC

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
SDInjection site pain ✓ ✓ ✓
SDMobility decreased ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓

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