ZKM-12809-98216
3 vaccinations
9 coded responses
32 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 611 / IL
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-28
Registered in v-safe
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2021-02-28
Dose 1 — Moderna
- 2021-02-28
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2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Oropharyngeal pain — Feeling: Good · HeadacheFree text: sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
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2021-03-15
Survey response — day 14, dose 1MedDRA: Peripheral swelling, Rash, Skin warm — Feeling: GoodFree text: Rash on arm that started about a week ago. It was warm and swollen until a few days agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Survey response — day 21, dose 1MedDRA: Myalgia — Feeling: FairFree text: Muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Dose 2 — Moderna
- 2021-03-28
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · 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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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · DiarrheaAdult check-in
- 2021-04-05
- 2021-04-11
- 2021-04-19
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2021-04-26
Survey response — day 28, dose 2MedDRA: Unevaluable event — Feeling: FairFree text: Probably not related but I donate plasma, and it generally takes 40 minutes but yesterday took 147 minutes. My draws were great but the return was incredibly difficult.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 35, dose 2MedDRA: Abdominal pain, Diarrhoea — Feeling: GoodFree text: Abdominal cramps and diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-06-28
- 2021-09-26
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2021-11-24
Dose 3 — Moderna
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2021-11-27
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral — Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: swollen sore armpitMedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: armpit sorenessMedDRA releases: 2024-11 · check-in free text available
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2021-12-01
Health check-in — day 7, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-12-10
- 2021-12-17
- 2021-12-22
- 2022-01-05
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2022-02-23
Survey response — 3 months, dose 3MedDRA: Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Frequent headaches but those could be weather relatedMedDRA releases: 2024-11 · check-in free text available
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2022-11-26
Survey response — 12 months, dose 3MedDRA: Diarrhoea, Dyspnoea, Fatigue, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Short of breath, fever, fatigue, diarrhea. These may be unrelatedMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-28 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): sore throat
Release 5 — day 14, dose 1
Symptoms: Rash on arm that started about a week ago. It was warm and swollen until a few days ago
Release 6 — day 21, dose 1
Symptoms: Muscle aches
Release 8 — day 28, dose 2
Symptoms: Probably not related but I donate plasma, and it generally takes 40 minutes but yesterday took 147 minutes. My draws were great but the return was incredibly difficult.
Release 8 — day 35, dose 2
Symptoms: Abdominal cramps and diarrhea
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): swollen sore armpit
Systemic reaction (other): armpit soreness
Release 11 — 3 months, dose 3
Symptoms: Frequent headaches but those could be weather related
Release 12 — 12 months, dose 3
Symptoms: Short of breath, fever, fatigue, diarrhea. These may be unrelated
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 | Abdominal pain | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release