ZJR-11729-85278
1 vaccination
6 coded responses
15 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 327 / FL
- Registered
- 2021-07-31
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- N/A
Timeline
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2021-07-30
Dose 1 — Moderna
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2021-07-31
Registered in v-safe
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2021-07-31
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Neck pain — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Headache and neck painMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-08-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-08-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-08-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Chills, Headache, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-08-05
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Poor · Fever · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activitiesFree text: Not sure if I ate something bad that is giving me diarrheaMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-06
Health check-in — day 7, dose 1Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-13
- 2021-08-20
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2021-08-27
Survey response — day 28, dose 1MedDRA: Fatigue, Headache, Restlessness — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Been having severe headaches since the first vaccine, fatigue and restlessnessMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-09-03
Survey response — day 35, dose 1MedDRA: Formication, Skin discomfort — Feeling: PoorFree text: It has been feeling like my arm and leg (side that I had shot in) are wrapped in fiberglass or like red ants are periodically attacking me.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-09-10
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2021-10-29
Survey response — 3 months, dose 1MedDRA: Paraesthesia, Skin burning sensation — Feeling: FairFree text: Prickly pins and needles again throughout my body and burning like I am being bit by antsMedDRA releases: 2024-11 · check-in free text available
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2022-01-28
Survey response — 6 months, dose 1MedDRA: Burning sensation, COVID-19, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: I got covid and I'm still having the burning, tingling in left arm since shotMedDRA releases: 2024-11 · check-in free text available
- 2022-07-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-30 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Headache and neck pain
Systemic reaction (other): Not sure if I ate something bad that is giving me diarrhea
Release 9 — day 28, dose 1
Symptoms: Been having severe headaches since the first vaccine, fatigue and restlessness
Release 9 — day 35, dose 1
Symptoms: It has been feeling like my arm and leg (side that I had shot in) are wrapped in fiberglass or like red ants are periodically attacking me.
Release 10 — 3 months, dose 1
Symptoms: Prickly pins and needles again throughout my body and burning like I am being bit by ants
Release 11 — 6 months, dose 1
Symptoms: I got covid and I'm still having the burning, tingling in left arm since shot
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 | Burning sensation | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | · | ✓ |
| SD | Formication | ✓ | · | ✓ |
| SD | Headache | ✓ | · | ✓ |
| SD | Paraesthesia | · | · | ✓ |
| SD | Restlessness | ✓ | · | ✓ |
| SD | Skin burning sensation | · | · | ✓ |
| SD | Skin discomfort | ✓ | · | ✓ |
| SRO | Diarrhoea | ✓ | · | ✓ |
| SRO | Headache | ✓ | · | ✓ |
| SRO | Neck pain | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release