ZG6-38489-64976
3 vaccinations
4 coded responses
31 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 959 / CA
- Registered
- 2021-01-20
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-01-20
Registered in v-safe
-
2021-01-20
Dose 1 — Moderna
- 2021-01-22
-
2021-01-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body achesAdult check-in
-
2021-01-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Muscle or body achesAdult check-in
- 2021-01-25
- 2021-01-26
- 2021-01-27
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2021-02-03
Survey response — day 14, dose 1MedDRA: Arthralgia, Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Myalgia, Urticaria — Feeling: GoodFree text: A red, very itchy 2.5x1.75 inch spot developed at the injection site. Raised, swollen. Still redish and slightly itchy. Also unusual, 2 welts appeared on my face, red, angry, now subsided. Joint and muscle pain increased too but is slowly improving.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-17
Dose 2 — Moderna
-
2021-02-17
Health check-in — day 0, dose 2Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body achesAdult check-in
-
2021-02-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · Fever · Joint pains, Muscle or body achesAdult check-in
- 2021-02-20
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
-
2021-03-17
Survey response — day 28, dose 2MedDRA: Rash — Feeling: GoodFree text: A couple unusual eruptions on the skin of my face again appeared 3 weeks after my vaccination. Usually one spot appears, very inflamed and raised for about 3-4 days followed my another which lasts the same length of time and repeated again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-03-31
- 2021-05-19
-
2021-10-08
Dose 3 — Moderna
-
2021-10-10
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-14
- 2021-10-15
- 2021-10-22
- 2021-10-29
- 2021-11-05
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2021-11-12
Survey response — day 35, dose 3MedDRA: Chills, Cough, Diarrhoea, Nasal congestion, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: GoodFree text: Cough, chest and nasal congestion, diarrhea, nasal discharge, feverish/chillsMedDRA releases: 2024-11 · check-in free text available
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2021-11-19
Survey response — day 42, dose 3MedDRA: Cough, Myalgia, Pain, Respiratory tract congestion, Sinus congestion — Feeling: FairFree text: Chest congestion, cough, sinus congestion, body aches, muscle achesMedDRA releases: 2024-11 · check-in free text available
- 2022-01-07
- 2022-04-08
- 2022-10-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-20 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-08 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: A red, very itchy 2.5x1.75 inch spot developed at the injection site. Raised, swollen. Still redish and slightly itchy. Also unusual, 2 welts appeared on my face, red, angry, now subsided. Joint and muscle pain increased too but is slowly improving. cut off by CDC
Release 5 — day 28, dose 2
Symptoms: A couple unusual eruptions on the skin of my face again appeared 3 weeks after my vaccination. Usually one spot appears, very inflamed and raised for about 3-4 days followed my another which lasts the same length of time and repeated again.
Release 10 — day 35, dose 3
Symptoms: Cough, chest and nasal congestion, diarrhea, nasal discharge, feverish/chills
Release 10 — day 42, dose 3
Symptoms: Chest congestion, cough, sinus congestion, body aches, muscle aches
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sinus congestion | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release