ZL9-26055-36331
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 206 / MD
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-07
- 2021-01-08
- 2021-01-09
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Upper-airway cough syndrome — Feeling: GoodFree text: Post nasal dripMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-14
- 2021-01-21
- 2021-01-28
- 2021-02-03
-
2021-02-06
Dose 2 — Moderna
-
2021-02-09
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Asthenia, Chills, Decreased activity, Decreased appetite, Heart rate increased, Immediate post-injection reaction, Insomnia, Middle insomnia, Mobility decreased, Movement disorder, Nausea, Nervousness, Pain, Pruritus, Tachyphrenia — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: This is first check since 2 nd dose. Top of shoulder hurt right after injection by evening top of shoulder hurt when lifting arm awkenen by severe chills and could hardly move 300 2/7/21 mind was racing, nausea tried to go back to sleep couldn't, got up severe weakness and heart rate increases after moving, shaky, temp 100.2, couldn't do anything but lay down all day,able to eat 1800t98.1, 2/8 felt drained but no symptoms except some soreness top of shoulder 2/9 more energy then normal, not very hungru, itchy top of head and trunk no rashyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-15
Survey response — day 7, dose 2MedDRA: Fatigue, Pruritus — Feeling: GoodFree text: Tired, itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-22
- 2021-02-28
- 2021-03-06
- 2021-03-14
- 2021-03-20
- 2021-05-08
- 2021-08-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Post nasal drip
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): This is first check since 2 nd dose. Top of shoulder hurt right after injection by evening top of shoulder hurt when lifting arm awkenen by severe chills and could hardly move 300 2/7/21 mind was racing, nausea tried to go back to sleep couldn't, got up severe weakness and heart rate increases after moving, shaky, temp 100.2, couldn't do anything but lay down all day,able to eat 1800t98.1, 2/8 felt drained but no symptoms except some soreness top of shoulder 2/9 more energy then normal, not very hungru, itchy top of head and trunk no rashy
Release 4 — day 7, dose 2
Systemic reaction (other): Tired, itchy
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Decreased activity | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Middle insomnia | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | Movement disorder | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Tachyphrenia | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release