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ZGK-88183-04259

4 vaccinations 5 coded responses 25 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
030 / NH
Registered
2021-02-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  4. 2021-02-23
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pain, Injection site pruritus — Feeling: Good
    Free text: Arm where injection of Moderna was inserted became red , painful, and very itchy all the way down to my elbow level. This was 9 days after injection. It is still very red and somewhat itchy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-09
    Dose 2 — Moderna
  7. 2021-03-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tiredness
    Adult check-in
  9. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Free text: Very stiff neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  11. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  12. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  13. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: Insomnia — Feeling: Good · Site: Itching
    Free text: The last several days I have lots of trouble sleeping. I usually sleep9-10 hours soundly and lately I struggle to get 5-6 hours. I have no unusual stress in my life and dont know if the second shot is causing this. It was on the 9 th of this month and it is the only thing different in the last week or so.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-01
    Dose 3 — Moderna
  20. 2022-04-22
    Dose 4 — Moderna
  21. 2022-04-25
    Survey response — days 1–6 daily, dose 4
    MedDRA: Abdominal discomfort, Chills, Fatigue, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Day of injections I had terrible chills, next two days I had terrible arm pain, very fatigue, stomach discomfort and ache all over symptoms
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  23. 2022-04-27
    Survey response — days 1–6 daily, dose 4
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  25. 2022-05-01
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-05-08
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-13
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  28. 2022-05-20
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-29
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-06-04
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna
32021-11-01Moderna No
42022-04-22Moderna No

Free text

Release 4 — day 14, dose 1

2021-02-23

Symptoms: Arm where injection of Moderna was inserted became red , painful, and very itchy all the way down to my elbow level. This was 9 days after injection. It is still very red and somewhat itchy.

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Very stiff neck

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): The last several days I have lots of trouble sleeping. I usually sleep9-10 hours soundly and lately I struggle to get 5-6 hours. I have no unusual stress in my life and dont know if the second shot is causing this. It was on the 9 th of this month and it is the only thing different in the last week or so.

Release 11 — days 1–6 daily, dose 4

2022-04-25

Systemic reaction (other): Day of injections I had terrible chills, next two days I had terrible arm pain, very fatigue, stomach discomfort and ache all over symptoms

2022-04-27

Systemic reaction (other): No

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 erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SROAbdominal discomfort · · ✓
SROChills · · ✓
SROFatigue · · ✓
SROInsomnia ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONo adverse event · · ✓
SROPain · · ✓
SROPain in extremity · · ✓

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