ZKN-26907-10202
2 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Registered dependents
LUA-27502-09634
Child or adolescent in my care · Female · 2021-08-09
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
-
2021-01-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Looser than normal bowels, but not diarrhea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Looser than normal stool.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
-
2021-02-11
Survey response — day 14, dose 1MedDRA: Chest pain, Feeling abnormal, Pre-existing disease — Feeling: FairFree text: Phantom chest pains today where I haven't felt great. I'm not sure if this is work-related or related to the vaccine. I don't / didnt experience the discomfort during exercise (vigorous boot camp in the mornings). Have a pre-existing leaky valve.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 2MedDRA: Burning sensation, Rash, Rash pruritic — Feeling: GoodFree text: Rash on back of right hand. Lasted for 3 days (itchy and burned a bit, likely do to over-scratching)- it's gone now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-25
- 2021-04-01
-
2021-04-08
Survey response — day 42, dose 2MedDRA: Headache — Feeling: GoodFree text: Periodic lingering headachesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-27
Survey response — 3 months, dose 2MedDRA: Dysmenorrhoea — Feeling: GoodFree text: Extremely painful menstruation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-08-27
Survey response — 6 months, dose 2MedDRA: Angina pectoris, Mitral valve prolapse, Pain, Pre-existing disease — Feeling: GoodFree text: Odd heart aches that I didn't experience prior to getting the vaccine. I was diagnosed with a mild mitral valve prolapse in 2015. What I'm experiencing post-vaccine is not palpitations; that I'm used to. This is a sporadic dull ache.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Looser than normal bowels, but not diarrhea.
Systemic reaction (other): Looser than normal stool.
Release 4 — day 14, dose 1
Symptoms: Phantom chest pains today where I haven't felt great. I'm not sure if this is work-related or related to the vaccine. I don't / didnt experience the discomfort during exercise (vigorous boot camp in the mornings). Have a pre-existing leaky valve.
Release 5 — day 14, dose 2
Symptoms: Rash on back of right hand. Lasted for 3 days (itchy and burned a bit, likely do to over-scratching)- it's gone now.
Release 7 — day 42, dose 2
Symptoms: Periodic lingering headaches
Release 8 — 3 months, dose 2
Symptoms: Extremely painful menstruation.
Release 9 — 6 months, dose 2
Symptoms: Odd heart aches that I didn't experience prior to getting the vaccine. I was diagnosed with a mild mitral valve prolapse in 2015. What I'm experiencing post-vaccine is not palpitations; that I'm used to. This is a sporadic dull ache.
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 | Angina pectoris | ✓ | · | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Chest pain | ✓ | ✓ | ✓ |
| SD | Dysmenorrhoea | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Mitral valve prolapse | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release