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ZLF-22342-22585

2 vaccinations 3 coded responses 4 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
752 / TX
Registered
2021-03-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Moderna
  2. 2021-03-12
    Dose 2 — Moderna
  3. 2021-03-16
    Registered in v-safe
  4. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, COVID-19, Chills, Toothache — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Free text: Now Im over most of it, but from late afternoon on the day of the 2nd shot, through about 36 hours, I had MOST of the symptoms listed above. Especially the chills, acheseven in my teeth, lol, threw up once at 1am Saturday morning, zero energy, & later developed Covid shoulder, which is just today starting to ease up finally.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Breast cancer, Injection site pain, Pre-existing disease — Feeling: Good · Site: Pain
    Free text: All seems good finally since the 2nd shot... just a little soreness/tenderness in the shoulder around site of injection now. Took a long time to get here, probably due to current daily Tamoxifen & recent radiation therapy (ended December 20), as well as possibly being affected even by ct scan & mri with contrast about 2 weeks before the 2nd vaccination. Some of that stuff to get rid of the stage 2 breast cancer probably didnt help me a lot...
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  7. 2022-03-14
    Survey response — 12 months, dose 2
    MedDRA: Nasal discomfort, Nasal pruritus, Rhinorrhoea, Sneezing — Feeling: Good
    Free text: Likely totally unrelated to my covid vacs & booster, but I have noticed for the first time that my nostrils get itchy/tickly, as with allergies lately. After sneezing, tickle returns & nose runs for awhile. For a few hours daily. Maybe odd weather?
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): Now Im over most of it, but from late afternoon on the day of the 2nd shot, through about 36 hours, I had MOST of the symptoms listed above. Especially the chills, acheseven in my teeth, lol, threw up once at 1am Saturday morning, zero energy, & later developed Covid shoulder, which is just today starting to ease up finally.

2021-03-17

Systemic reaction (other): All seems good finally since the 2nd shot... just a little soreness/tenderness in the shoulder around site of injection now. Took a long time to get here, probably due to current daily Tamoxifen & recent radiation therapy (ended December 20), as well as possibly being affected even by ct scan & mri with contrast about 2 weeks before the 2nd vaccination. Some of that stuff to get rid of the stage 2 breast cancer probably didnt help me a lot...

Release 11 — 12 months, dose 2

2022-03-14

Symptoms: Likely totally unrelated to my covid vacs & booster, but I have noticed for the first time that my nostrils get itchy/tickly, as with allergies lately. After sneezing, tickle returns & nose runs for awhile. For a few hours daily. Maybe odd weather? cut off by CDC

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
SDNasal discomfort · · ✓
SDNasal pruritus · · ✓
SDRhinorrhoea · · ✓
SDSneezing · · ✓
SROAsthenia ✓ ✓ ✓
SROBreast cancer ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROCOVID-19 ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROToothache ✓ ✓ ✓

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