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ZK8-62071-37186

2 vaccinations 6 coded responses 19 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
152 / PA
Registered
2021-02-11
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Registered in v-safe
  2. 2021-02-11
    Dose 1 — Moderna
  3. 2021-02-11
    Health check-in — day 0, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: My "rash" is around my left eye, started yesterday about 15-20mins after my shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eyelid rash — Feeling: Fair · Site: Pain, Redness, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Rash is Still around my Left Eye
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: My rash is clearing up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-11
    Dose 2 — Moderna
  14. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: I had my "2nd"shot on Mar 11th and since the the 13th I've had this 'black-pepper' taste in my mouth, I've brushed/ rinse my mouth out several times and it still remains.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus, Self-medication — Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: My "2nd" shot symptoms are different, I've taken Benadryl and applied cortisone and ice, the "itching" is horrible, and it's taking longer for theses Symptoms to subside. So I'm Pray this is Helpful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-18
    Survey response — day 7, dose 2
    MedDRA: Injection site rash, Peripheral swelling, Pruritus — Feeling: Fair · Site: Redness, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Arm is slightly swollen still itching and now I have a slight rash at the injection spot..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna
22021-03-11Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): My "rash" is around my left eye, started yesterday about 15-20mins after my shot.

2021-02-13

Systemic reaction (other): Rash is Still around my Left Eye

2021-02-14

Systemic reaction (other): My rash is clearing up

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): I had my "2nd"shot on Mar 11th and since the the 13th I've had this 'black-pepper' taste in my mouth, I've brushed/ rinse my mouth out several times and it still remains.

2021-03-17

Systemic reaction (other): My "2nd" shot symptoms are different, I've taken Benadryl and applied cortisone and ice, the "itching" is horrible, and it's taking longer for theses Symptoms to subside. So I'm Pray this is Helpful.

Release 5 — day 7, dose 2

2021-03-18

Systemic reaction (other): Arm is slightly swollen still itching and now I have a slight rash at the injection spot..

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
SROAdverse reaction ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROEyelid rash ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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