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ZMJ-79012-71451

4 vaccinations 17 coded responses 25 check-ins 16 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
371 / TN
Registered
2021-05-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Dose 1 — Moderna
  2. 2021-05-14
    Dose 2 — Moderna
  3. 2021-05-15
    Registered in v-safe
  4. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypopnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Cant get a deep breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Back pain — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Back, shoulder & both hips have horrible pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Can not take a good deep breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain — Feeling: Fair · Site: Itching · Headache
    Free text: Upper back area still aches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  9. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  10. 2021-05-23
    Health check-in — day 7, dose 2
    Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-31
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-13
    Survey response — day 28, dose 2
    MedDRA: Arthralgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Joints hurt bad especially in my shoulders and knees
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-18
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Headache — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Headaches, fatigued everyday,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-25
    Survey response — day 42, dose 2
    MedDRA: Arthralgia, Myalgia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Muscles and joints are hurting more
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-12-11
    Dose 3 — Moderna
  17. 2022-05-15
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in
  18. 2022-08-04
    Dose 4 — Moderna
  19. 2022-08-06
    Survey response — days 1–6 daily, dose 4
    MedDRA: Influenza like illness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Feels like I have the Flu
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-08-07
    Survey response — days 1–6 daily, dose 4
    MedDRA: Headache, Musculoskeletal stiffness — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: My headache won't go away. I didn't report yesterday that my neck is stiff and still is today.
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-08-08
    Survey response — days 1–6 daily, dose 4
    MedDRA: Ageusia, Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sweating all day, can't taste anything,
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-08-09
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  23. 2022-08-11
    Survey response — day 7, dose 4
    MedDRA: Ageusia — Feeling: Good · Site: Itching · Fever · Abdominal pain
    Free text: My taste has returned,
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-08-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-08-25
    Survey response — day 21, dose 4
    MedDRA: Headache, Taste disorder — Feeling: Fair
    Free text: Taste is still off And I have headaches
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-09-02
    Survey response — day 28, dose 4
    MedDRA: Back pain, Taste disorder — Feeling: Fair
    Free text: I have lower back pain and my taste is still Not good
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-09-08
    Survey response — day 35, dose 4
    MedDRA: Dysgeusia, Headache — Feeling: Fair
    Free text: Still have headaches And taste is still little off
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-09-17
    Survey response — day 42, dose 4
    MedDRA: Headache, Hyperhidrosis — Feeling: Fair
    Free text: I sweat so easily and that's not usual for me. This started about 3 weeks after I took the shot and has continued. It's very irritating sitting in a meeting and wiping sweat off my face. I am still having headaches.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-11-03
    Survey response — 3 months, dose 4
    MedDRA: Dizziness, Oxygen saturation decreased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Having trouble with dizziness and like not enough oxygen is getting to my brain.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2023-02-04
    Survey response — 6 months, dose 4
    MedDRA: Arthralgia, Myalgia — Feeling: Poor · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-14Moderna
32021-12-11Moderna No
42022-08-04Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-15

Systemic reaction (other): Cant get a deep breath

2021-05-16

Systemic reaction (other): Back, shoulder & both hips have horrible pain

2021-05-17

Systemic reaction (other): Can not take a good deep breath

2021-05-18

Systemic reaction (other): Upper back area still aches

Release 9 — day 28, dose 2

2021-06-13

Symptoms: Joints hurt bad especially in my shoulders and knees

Release 9 — day 35, dose 2

2021-06-18

Symptoms: Headaches, fatigued everyday,

Release 9 — day 42, dose 2

2021-06-25

Symptoms: Muscles and joints are hurting more

Release 12 — days 1–6 daily, dose 4

2022-08-06

Systemic reaction (other): Feels like I have the Flu

2022-08-07

Systemic reaction (other): My headache won't go away. I didn't report yesterday that my neck is stiff and still is today.

2022-08-08

Systemic reaction (other): Sweating all day, can't taste anything,

Release 12 — day 7, dose 4

2022-08-11

Systemic reaction (other): My taste has returned,

Release 12 — day 21, dose 4

2022-08-25

Symptoms: Taste is still off And I have headaches

Release 12 — day 28, dose 4

2022-09-02

Symptoms: I have lower back pain and my taste is still Not good

Release 12 — day 35, dose 4

2022-09-08

Symptoms: Still have headaches And taste is still little off

Release 12 — day 42, dose 4

2022-09-17

Symptoms: I sweat so easily and that's not usual for me. This started about 3 weeks after I took the shot and has continued. It's very irritating sitting in a meeting and wiping sweat off my face. I am still having headaches.

Release 12 — 3 months, dose 4

2022-11-03

Symptoms: Having trouble with dizziness and like not enough oxygen is getting to my brain.

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
SDArthralgia ✓ ✓ ✓
SDBack pain · · ✓
SDDizziness · · ✓
SDDysgeusia · · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHyperhidrosis · · ✓
SDMyalgia ✓ ✓ ✓
SDOxygen saturation decreased · · ✓
SDTaste disorder · · ✓
SROAgeusia · · ✓
SROArthralgia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROHeadache · · ✓
SROHyperhidrosis · · ✓
SROHypopnoea ✓ ✓ ✓
SROInfluenza like illness · · ✓
SROMusculoskeletal stiffness · · ✓

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

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