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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

  1. 2021-04-20
    Registered in v-safe
  2. 2021-04-20
    Dose 1 — Moderna
  3. 2021-04-20
    Survey response — day 0, dose 1
    MedDRA: Abdominal pain lower, Arthralgia, Dyspnoea, Immediate post-injection reaction — Feeling: Good
    Free 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
  4. 2021-04-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Balance disorder, Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Lightheaded, a bit off balance, dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-04-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good · Headache, Fatigue or tiredness, Diarrhea
    Free text: Still dizzy, lightheaded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-04-29
    Survey response — day 7, dose 1
    MedDRA: Epistaxis — Feeling: Good · Headache
    Free 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
  9. 2021-05-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-18
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-25
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-26
    Dose 2 — Moderna
  14. 2021-05-26
    Survey response — day 0, dose 2
    MedDRA: Arthralgia, Pain in extremity — Feeling: Good
    Free text: Pain in opposite shoulder and arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Muscle or body aches, Nausea
    Free text: Opposite shoulder and arm still very sore.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Pain in extremity — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Opposite shoulder/arm pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Fatigue or tiredness, Diarrhea
    Adult check-in
  18. 2021-05-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  19. 2021-05-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  20. 2021-06-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  21. 2021-06-02
    Health check-in — day 7, dose 2
    Feeling: Good · Diarrhea, Rash, not including the immediate area around the injection site
    Adult check-in
  22. 2021-06-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-08-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-05-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-20Moderna
22021-05-26Moderna

Free text

Release 7 — day 0, dose 1

2021-04-20

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

2021-04-22

Systemic reaction (other): Lightheaded, a bit off balance, dizzy

2021-04-25

Systemic reaction (other): Still dizzy, lightheaded

Release 8 — day 7, dose 1

2021-04-29

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

2021-05-26

Systemic reaction (other): Pain in opposite shoulder and arm

Release 8 — days 1–6 daily, dose 2

2021-05-27

Systemic reaction (other): Opposite shoulder and arm still very sore.

2021-05-28

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

FieldPreferred term2021-092023-042024-11
SROAbdominal pain lower ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROBalance disorder ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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