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ZMN-24512-67011

2 vaccinations 13 coded responses 19 check-ins 13 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
856 / AZ
Registered
2021-02-17
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-02-17
    Registered in v-safe
  3. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · None
    Adult check-in
  4. 2021-02-23
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-03-02
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-03-09
    Dose 2 — Moderna
  7. 2021-03-09
    Survey response — day 0, dose 2
    MedDRA: Dizziness, Headache, Immediate post-injection reaction — Feeling: Good · Site: Pain · Headache
    Free text: Head ache went away before I left site, felt a little lightheaded there too is also gone
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Fatigue — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Feel real tired no strength
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Abdominal pain
    Free text: Yes I want to report the location of shot was too high I did report this to clinic n direction of needle exiting was at an angle = why
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Urticaria — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Have site with a sm ball now the pancake welt has subsided but now I have a one inch ball at the site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Injection site warmth — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: My head hurts when I have to cough n it hurts in the back of my head w/neck, the injection site in hot when I put my hand over it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Good · Site: Itching · Headache
    Free text: Head ache w/neck right side still
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Neck pain — Feeling: Fair · Headache
    Free text: Excess neck n head ach right side still
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Slight headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-04-06
    Survey response — day 28, dose 2
    MedDRA: Decreased activity, Fatigue, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Feel tired not wanting to do anything like I feel sleepy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-13
    Survey response — day 35, dose 2
    MedDRA: Nausea — Feeling: Fair
    Free text: Nausea last night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-08
    Survey response — 3 months, dose 2
    MedDRA: Fatigue, Pain in extremity — Feeling: Fair
    Free text: Tiredness not feeling myself some pain inside feet n legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-09-09
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Fatigue, Paraesthesia — Feeling: Fair
    Free text: Excess joint pain, tiredness some nerve pulsating in feet
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-03-11
    Survey response — 12 months, dose 2
    MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very tired and get back of head head aches
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna

Free text

Release 5 — day 0, dose 2

2021-03-09

Systemic reaction (other): Head ache went away before I left site, felt a little lightheaded there too is also gone

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): Feel real tired no strength

2021-03-11

Systemic reaction (other): Yes I want to report the location of shot was too high I did report this to clinic n direction of needle exiting was at an angle = why

2021-03-12

Systemic reaction (other): Have site with a sm ball now the pancake welt has subsided but now I have a one inch ball at the site

2021-03-13

Systemic reaction (other): My head hurts when I have to cough n it hurts in the back of my head w/neck, the injection site in hot when I put my hand over it

2021-03-14

Systemic reaction (other): Head ache w/neck right side still

2021-03-15

Systemic reaction (other): Excess neck n head ach right side still

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Slight headache

Release 7 — day 28, dose 2

2021-04-06

Symptoms: Feel tired not wanting to do anything like I feel sleepy

Release 7 — day 35, dose 2

2021-04-13

Symptoms: Nausea last night

Release 8 — 3 months, dose 2

2021-06-08

Symptoms: Tiredness not feeling myself some pain inside feet n legs

Release 9 — 6 months, dose 2

2021-09-09

Symptoms: Excess joint pain, tiredness some nerve pulsating in feet

Release 11 — 12 months, dose 2

2022-03-11

Symptoms: Very tired and get back of head head aches

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 · · ✓
SDDecreased activity ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDNausea ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia · · ✓
SDSomnolence ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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

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