ZKL-26504-33841
4 vaccinations
3 coded responses
20 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 334 / FL
- Registered
- 2021-01-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
-
2021-01-29
Registered in v-safe
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site rash, Injection site warmth — Feeling: GoodFree text: Rash, warmth, ache in injection site arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
- 2021-02-11
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
-
2021-02-27
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Pain in shoulder above the injection site. Pain is in the joint but it started 12 days after the second injection, just like the pain after the first injection. My shoulder feels and functions like a frozen shoulder. It resolved after 3-4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-04
Survey response — day 21, dose 2MedDRA: Arthralgia, Injection site warmth — Feeling: GoodFree text: Joint pain continues. Sharp pain in shoulder and new similar pain in the elbow of the injected arm. It is a little better but still present. Yesterday, there was heat over the injection site but it went away. No rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-08-14
-
2021-09-07
Dose 3 — Moderna
- 2021-12-07
- 2022-03-08
-
2022-04-04
Dose 4 — Moderna
- 2022-05-15
- 2022-05-16
- 2022-07-04
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-09-07 | Moderna | No |
| 4 | 2022-04-04 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Rash, warmth, ache in injection site arm.
Release 4 — day 14, dose 2
Symptoms: Pain in shoulder above the injection site. Pain is in the joint but it started 12 days after the second injection, just like the pain after the first injection. My shoulder feels and functions like a frozen shoulder. It resolved after 3-4 days.
Release 5 — day 21, dose 2
Symptoms: Joint pain continues. Sharp pain in shoulder and new similar pain in the elbow of the injected arm. It is a little better but still present. Yesterday, there was heat over the injection site but it went away. No rash
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release