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ZFJ-23781-38026

4 vaccinations 7 coded responses 27 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
856 / AZ
Registered
2021-03-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-12
    Registered in v-safe
  3. 2021-03-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-31
    Dose 2 — Moderna
  7. 2021-03-31
    Survey response — day 0, dose 2
    MedDRA: Fatigue, Insomnia — Feeling: Good · Fatigue or tiredness
    Free text: Tired is due to lack of sleep past 2 nights
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Injection site pain, Nausea, Sleep disorder — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Nausea from the excruciating pain at injection site. Tired because I was up all night with the pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · None · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Joint range of motion decreased — Feeling: Good
    Free text: Still dont have complete range of motion in the arm where I received the shot. But getting better each day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Insomnia, Pain in extremity — Feeling: Fair · Fatigue or tiredness
    Free text: Tired from not sleeping well. Ache in the arm I had the shot but not at the site of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-07
    Survey response — day 7, dose 2
    MedDRA: Injected limb mobility decreased — Feeling: Good
    Free text: Range of motion in arm still not 100% but almost there!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-30
    Survey response — 6 months, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Left arm (where I received the vaccine) is painful in the area I had the vaccine. Feels like I just got another shot! Its been painful in that spot for a couple weeks.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-11-03
    Dose 3 — Moderna
  23. 2022-04-01
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-04-20
    Dose 4 — Moderna
  25. 2022-04-27
    Survey response — day 7, dose 4
    MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Had diarrhea April 22,23,25,26 Stomach ache April 26
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-05-04
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-11
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-18
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-06-02
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  31. 2022-07-20
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  32. 2022-10-19
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna
32021-11-03Moderna No
42022-04-20Moderna No

Free text

Release 6 — day 0, dose 2

2021-03-31

Systemic reaction (other): Tired is due to lack of sleep past 2 nights

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Nausea from the excruciating pain at injection site. Tired because I was up all night with the pain.

2021-04-03

Systemic reaction (other): Still dont have complete range of motion in the arm where I received the shot. But getting better each day

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Tired from not sleeping well. Ache in the arm I had the shot but not at the site of injection

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): Range of motion in arm still not 100% but almost there!

Release 9 — 6 months, dose 2

2021-09-30

Symptoms: Left arm (where I received the vaccine) is painful in the area I had the vaccine. Feels like I just got another shot! Its been painful in that spot for a couple weeks.

Release 11 — day 7, dose 4

2022-04-27

Systemic reaction (other): Had diarrhea April 22,23,25,26 Stomach ache April 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

FieldPreferred term2021-092023-042024-11
SDInjection site pain · · ✓
SROAbdominal pain upper · · ✓
SRODiarrhoea · · ✓
SROFatigue ✓ ✓ ✓
SROInjected limb mobility decreased ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROJoint range of motion decreased ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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