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
-
2021-02-09
Dose 1 — Moderna
-
2021-02-19
Registered in v-safe
-
2021-02-19
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-23
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus — Feeling: GoodFree 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
- 2021-03-02
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Chills, Fatigue or tirednessAdult check-in
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Musculoskeletal stiffness — Feeling: Good · Site: Pain, Itching · Fatigue or tirednessFree text: Very stiff neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-03-15
-
2021-03-16
Survey response — day 7, dose 2MedDRA: Insomnia — Feeling: Good · Site: ItchingFree 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
- 2021-03-23
- 2021-04-13
- 2021-04-20
- 2021-09-07
-
2021-11-01
Dose 3 — Moderna
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2022-04-22
Dose 4 — Moderna
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2022-04-25
Survey response — days 1–6 daily, dose 4MedDRA: Abdominal discomfort, Chills, Fatigue, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Day of injections I had terrible chills, next two days I had terrible arm pain, very fatigue, stomach discomfort and ache all over symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
-
2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-05-01
- 2022-05-08
- 2022-05-13
- 2022-05-20
- 2022-05-29
- 2022-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
Free text
Release 4 — day 14, dose 1
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
Systemic reaction (other): Very stiff neck
Release 5 — day 7, dose 2
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release