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ZKN-20517-24070

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
857 / AZ
Registered
2020-12-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-23
    Survey response — day 0, dose 1
    MedDRA: Feeling cold, Injection site coldness — Feeling: Good
    Free text: My arm feels cold at injection site, cold feeling is radiating to other areas
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2020-12-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Congestion
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-13
    Survey response — day 21, dose 1
    MedDRA: Axillary pain, Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth, Self-medication — Feeling: Good
    Free text: On day 8 after receiving the vaccine i experienced an injection site reaction. Site became swollen, tender, hot, bumpy, itchy and i had axillary pain for about 4 days. Symptoms relieved with ibuprofen and benadryl. Now back to normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-27
    Dose 2 — Moderna
  9. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  10. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  11. 2021-02-05
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-01-27
    Survey response — 12 months, dose 2
    MedDRA: Ageusia, COVID-19, Chills, Diarrhoea, Dizziness, Fatigue, Headache, Pyrexia, Respiratory tract congestion, Throat irritation — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Positive for covid as of monday. Had fever, chills, scratchy throat, loss of taste, congestion, dizziness, fatigue, headache, diarrhea.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-27Moderna

Free text

Release 1 — day 0, dose 1

2020-12-23

Systemic reaction (other): My arm feels cold at injection site, cold feeling is radiating to other areas

Release 1 — days 1–6 daily, dose 1

2020-12-25

Systemic reaction (other): Congestion

Release 1 — day 21, dose 1

2021-01-13

Symptoms: On day 8 after receiving the vaccine i experienced an injection site reaction. Site became swollen, tender, hot, bumpy, itchy and i had axillary pain for about 4 days. Symptoms relieved with ibuprofen and benadryl. Now back to normal.

Release 11 — 12 months, dose 2

2022-01-27

Symptoms: Positive for covid as of monday. Had fever, chills, scratchy throat, loss of taste, congestion, dizziness, fatigue, headache, diarrhea.

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
SDAgeusia · · ✓
SDAxillary pain ✓ ✓ ✓
SDChills · · ✓
SDCOVID-19 · · ✓
SDDiarrhoea · · ✓
SDDizziness · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SDSelf-medication ✓ ✓ ✓
SDThroat irritation · · ✓
SROFeeling cold ✓ ✓ ✓
SROInjection site abscess ○ ○ ○
SROInjection site coldness ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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