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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

  1. 2021-01-28
    Registered in v-safe
  2. 2021-01-28
    Dose 1 — Moderna
  3. 2021-01-28
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Looser than normal bowels, but not diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Good
    Free text: Looser than normal stool.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-11
    Survey response — day 14, dose 1
    MedDRA: Chest pain, Feeling abnormal, Pre-existing disease — Feeling: Fair
    Free 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
  12. 2021-02-18
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-25
    Dose 2 — Moderna
  14. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  19. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-11
    Survey response — day 14, dose 2
    MedDRA: Burning sensation, Rash, Rash pruritic — Feeling: Good
    Free 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
  23. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-08
    Survey response — day 42, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Periodic lingering headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-27
    Survey response — 3 months, dose 2
    MedDRA: Dysmenorrhoea — Feeling: Good
    Free text: Extremely painful menstruation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-08-27
    Survey response — 6 months, dose 2
    MedDRA: Angina pectoris, Mitral valve prolapse, Pain, Pre-existing disease — Feeling: Good
    Free 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
  29. 2022-02-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): Looser than normal bowels, but not diarrhea.

2021-02-02

Systemic reaction (other): Looser than normal stool.

Release 4 — day 14, dose 1

2021-02-11

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

2021-03-11

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

2021-04-08

Symptoms: Periodic lingering headaches

Release 8 — 3 months, dose 2

2021-05-27

Symptoms: Extremely painful menstruation.

Release 9 — 6 months, dose 2

2021-08-27

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

FieldPreferred term2021-092023-042024-11
SDAngina pectoris ✓ · ✓
SDBurning sensation ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDDysmenorrhoea ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMitral valve prolapse ✓ · ✓
SDPain ✓ · ✓
SDPre-existing disease ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓

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