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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

  1. 2021-07-30
    Dose 1 — Moderna
  2. 2021-07-31
    Registered in v-safe
  3. 2021-07-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: 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 activities
    Free text: Headache and neck pain
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-08-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-08-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-08-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fever · Chills, Headache, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-08-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Poor · Fever · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities
    Free text: Not sure if I ate something bad that is giving me diarrhea
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  9. 2021-08-06
    Health check-in — day 7, dose 1
    Feeling: Poor · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-08-13
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-08-20
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-08-27
    Survey response — day 28, dose 1
    MedDRA: Fatigue, Headache, Restlessness — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Been having severe headaches since the first vaccine, fatigue and restlessness
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-09-03
    Survey response — day 35, dose 1
    MedDRA: Formication, Skin discomfort — Feeling: Poor
    Free 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
  14. 2021-09-10
    Health check-in — day 42, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-10-29
    Survey response — 3 months, dose 1
    MedDRA: Paraesthesia, Skin burning sensation — Feeling: Fair
    Free text: Prickly pins and needles again throughout my body and burning like I am being bit by ants
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-01-28
    Survey response — 6 months, dose 1
    MedDRA: Burning sensation, COVID-19, Paraesthesia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I got covid and I'm still having the burning, tingling in left arm since shot
    MedDRA releases: 2024-11 · check-in free text available
  17. 2022-07-30
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-30Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-07-31

Systemic reaction (other): Headache and neck pain

2021-08-05

Systemic reaction (other): Not sure if I ate something bad that is giving me diarrhea

Release 9 — day 28, dose 1

2021-08-27

Symptoms: Been having severe headaches since the first vaccine, fatigue and restlessness

Release 9 — day 35, dose 1

2021-09-03

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

2021-10-29

Symptoms: Prickly pins and needles again throughout my body and burning like I am being bit by ants

Release 11 — 6 months, dose 1

2022-01-28

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

FieldPreferred term2021-092023-042024-11
SDBurning sensation · · ✓
SDCOVID-19 · · ✓
SDFatigue ✓ · ✓
SDFormication ✓ · ✓
SDHeadache ✓ · ✓
SDParaesthesia · · ✓
SDRestlessness ✓ · ✓
SDSkin burning sensation · · ✓
SDSkin discomfort ✓ · ✓
SRODiarrhoea ✓ · ✓
SROHeadache ✓ · ✓
SRONeck pain ✓ · ✓

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