ZLV-16016-89739
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 334 / FL
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-11
Registered in v-safe
- 2021-01-11
- 2021-01-13
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-01-26
-
2021-01-27
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Asthenia — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Mild uneasy stomach. Weakness feeling. Little energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Fair · Site: Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Red oral it is not a spotty rash but an uneven oral type circle on the lateral breast near armpit on the OPPOSITE side of the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Redness, Swelling, Itching · Fever · Rash, not including the immediate area around the injection siteFree text: Red area Lateral breast region on opposite side of body from shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis, Night sweats — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Joint painsFree text: Since the shot I have been sweating at night. Not a little. My clothes at wet. Bed is wet. I can take off clothes put on new clothes and still sweating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Night sweats — Feeling: Good · Site: Redness · FeverFree text: Sweating overnightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-17
- 2021-02-25
- 2021-03-06
- 2021-03-09
- 2021-04-27
- 2021-07-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Mild uneasy stomach. Weakness feeling. Little energy
Systemic reaction (other): Red oral it is not a spotty rash but an uneven oral type circle on the lateral breast near armpit on the OPPOSITE side of the injection site
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Red area Lateral breast region on opposite side of body from shot
Systemic reaction (other): Since the shot I have been sweating at night. Not a little. My clothes at wet. Bed is wet. I can take off clothes put on new clothes and still sweating.
Systemic reaction (other): Sweating overnight
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Night sweats | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release