ZGE-15444-81066
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 462 / IN
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-20
Registered in v-safe
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2021-04-20
Dose 1 — Moderna
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2021-04-20
Survey response — day 0, dose 1MedDRA: Abdominal pain lower, Arthralgia, Dyspnoea, Immediate post-injection reaction — Feeling: GoodFree text: It MIGHT be joint pain but within 30 minutes or so, my hip or lower abdomen on same side as shot is really sore when I walk. Like I injured it or something. it might be my hip joint? A tiny bit hard to breath but minimal at this point.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 1MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Lightheaded, a bit off balance, dizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tiredness, DiarrheaFree text: Still dizzy, lightheadedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Fatigue or tirednessAdult check-in
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2021-04-29
Survey response — day 7, dose 1MedDRA: Epistaxis — Feeling: Good · HeadacheFree text: I had a nose bleed a couple days in a row a few days ago. Forgot to report. I don't get nose bleeds.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
- 2021-05-11
- 2021-05-18
- 2021-05-25
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2021-05-26
Dose 2 — Moderna
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2021-05-26
Survey response — day 0, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: GoodFree text: Pain in opposite shoulder and armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-27
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Muscle or body aches, NauseaFree text: Opposite shoulder and arm still very sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-28
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Opposite shoulder/arm painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-05-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, Nausea, DiarrheaAdult check-in
- 2021-05-31
- 2021-06-01
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2021-06-02
Health check-in — day 7, dose 2Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-06-30
- 2021-07-07
- 2021-08-27
- 2021-11-26
- 2022-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-20 | Moderna | |
| 2 | 2021-05-26 | Moderna |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): It MIGHT be joint pain but within 30 minutes or so, my hip or lower abdomen on same side as shot is really sore when I walk. Like I injured it or something. it might be my hip joint? A tiny bit hard to breath but minimal at this point.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Lightheaded, a bit off balance, dizzy
Systemic reaction (other): Still dizzy, lightheaded
Release 8 — day 7, dose 1
Systemic reaction (other): I had a nose bleed a couple days in a row a few days ago. Forgot to report. I don't get nose bleeds.
Release 8 — day 0, dose 2
Systemic reaction (other): Pain in opposite shoulder and arm
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Opposite shoulder and arm still very sore.
Systemic reaction (other): Opposite shoulder/arm pain
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 |
|---|---|---|---|---|
| SRO | Abdominal pain lower | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
| SRO | Epistaxis | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release