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ZGW-14261-71235

1 vaccination 7 coded responses 10 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
937 / CA
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-16
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Itching · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Insomnia, Listless, Pain in extremity, Pruritus, Somnolence — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Listlessness, fatigue, sore itchy arm, sleepiness and inability to sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Insomnia, Night sweats — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Night sweats. Insomnia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain, Dizziness, Neck pain — Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Extreme dizziness and severe neck and upper back pain on theshot side for a few hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Feeling abnormal — Feeling: Fair · Site: Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness. Brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Respiratory tract congestion — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Free text: Stuffy head abd nise headachee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-23
    Health check-in — day 7, dose 1
    Feeling: Poor · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-03-30
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Fatigue, Injection site pruritus, Pyrexia — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: Severe joint aches. Severe fatigueItching at shot siteMild fever several times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-07
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Fatigue, Lymphadenopathy — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: The severe fatigue has continued about 60% of the timeAnd joint pain - especially knees 100% of the time even while sitting o or lying downSwollen glands in neck
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-17

Systemic reaction (other): Listlessness, fatigue, sore itchy arm, sleepiness and inability to sleep

2021-03-18

Systemic reaction (other): Night sweats. Insomnia

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Extreme dizziness and severe neck and upper back pain on theshot side for a few hours

2021-03-21

Systemic reaction (other): Dizziness. Brain fog

2021-03-22

Systemic reaction (other): Stuffy head abd nise headachee

Release 6 — day 14, dose 1

2021-03-30

Symptoms: Severe joint aches. Severe fatigueItching at shot siteMild fever several times

Release 7 — day 21, dose 1

2021-04-07

Symptoms: The severe fatigue has continued about 60% of the timeAnd joint pain - especially knees 100% of the time even while sitting o or lying downSwollen glands in neck

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
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROListless ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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

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