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ZGK-96450-65134

2 vaccinations 10 coded responses 19 check-ins 10 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
954 / CA
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  7. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-02-08
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Musculoskeletal discomfort — Feeling: Fair
    Free text: little more tired.joint discomfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-16
    Survey response — day 21, dose 1
    MedDRA: Insomnia — Feeling: Fair
    Free text: cant fall askeep at night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-22
    Dose 2 — Moderna
  11. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  12. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-01
    Health check-in — day 7, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-03-08
    Survey response — day 14, dose 2
    MedDRA: Chest discomfort — Feeling: Good
    Free text: discomfort Lt of sternum
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-17
    Survey response — day 21, dose 2
    MedDRA: Paraesthesia — Feeling: Good
    Free text: tingling base of neck posterior
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-22
    Survey response — day 28, dose 2
    MedDRA: Discomfort, Hypoaesthesia, Paraesthesia — Feeling: Good
    Free text: upper shoulder neck tingling, discomfort.numbness Rt hand
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-30
    Survey response — day 35, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Lt upper arm soreness.Rt sided discomfort foot below under arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-07
    Survey response — day 42, dose 2
    MedDRA: Chest pain, Muscular weakness, Musculoskeletal chest pain, Pain in extremity, Paraesthesia — Feeling: Good · Be unable to do your normal daily activities
    Free text: weakness both armstingling base of skullsoreness Lt upper arm in area of vaccine injection. soreness rt upper anterior distal rib area ( below under Arm)soreness anterior upper mid chest near throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-24
    Survey response — 3 months, dose 2
    MedDRA: Dizziness, Nausea, Vertigo, Vomiting — Feeling: Fair · Be unable to do your normal daily activities
    Free text: dizziness, vertigo, nausea, vomiting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-08-23
    Survey response — 6 months, dose 2
    MedDRA: Back disorder, Unevaluable event — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Back problemsupper chest problems
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  22. 2022-02-22
    Survey response — 12 months, dose 2
    MedDRA: Discomfort — Feeling: Fair · Be unable to do your normal daily activities
    Free text: discomfort
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-22Moderna

Free text

Release 3 — day 14, dose 1

2021-02-08

Symptoms: little more tired.joint discomfort

Release 4 — day 21, dose 1

2021-02-16

Symptoms: cant fall askeep at night

Release 5 — day 14, dose 2

2021-03-08

Symptoms: discomfort Lt of sternum

Release 5 — day 21, dose 2

2021-03-17

Symptoms: tingling base of neck posterior

Release 6 — day 28, dose 2

2021-03-22

Symptoms: upper shoulder neck tingling, discomfort.numbness Rt hand

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Lt upper arm soreness.Rt sided discomfort foot below under arm

Release 7 — day 42, dose 2

2021-04-07

Symptoms: weakness both armstingling base of skullsoreness Lt upper arm in area of vaccine injection. soreness rt upper anterior distal rib area ( below under Arm)soreness anterior upper mid chest near throat

Release 8 — 3 months, dose 2

2021-05-24

Symptoms: dizziness, vertigo, nausea, vomiting

Release 9 — 6 months, dose 2

2021-08-23

Symptoms: Back problemsupper chest problems

Release 11 — 12 months, dose 2

2022-02-22

Symptoms: discomfort

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
SDBack disorder ✓ · ✓
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDDiscomfort ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDMuscular weakness ✓ ✓ ✓
SDMusculoskeletal chest pain ✓ ✓ ✓
SDMusculoskeletal discomfort ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDUnevaluable event ✓ · ✓
SDVertigo ✓ ✓ ✓
SDVomiting ✓ ✓ ✓

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

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