ZMW-94944-92064
3 vaccinations
6 coded responses
40 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 019 / MA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
-
2021-03-24
Survey response — day 0, dose 1MedDRA: Drug hypersensitivity, Pre-existing disease — Feeling: GoodFree text: Im allergic to sulfur and penicillin with an A+ blood type if this info helpsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-22
Dose 2 — Moderna
-
2021-04-22
Survey response — day 0, dose 2MedDRA: Drug hypersensitivity, Pre-existing disease, Vitamin D deficiency — Feeling: GoodFree text: Allergic to sulfur and penicillin. Blood type A+ and am vitamin D deficientMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-07-22
- 2021-10-21
-
2021-12-19
Dose 3 — Moderna
-
2021-12-20
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: DizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-12-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Neck pain — Feeling: Fair · Site: Pain · Headache, Muscle or body achesFree text: Pain in my armpit and neck on injection sideMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: Pain · HeadacheFree text: Underarm pain is now mild tooMedDRA releases: 2024-11 · check-in free text available
- 2021-12-24
- 2021-12-25
- 2021-12-26
- 2022-01-02
- 2022-01-09
- 2022-01-16
-
2022-01-23
Survey response — day 35, dose 3MedDRA: Haemorrhage, Pre-existing disease, Pruritus, Scratch, Urticaria — Feeling: GoodFree text: The shoulder I was vaccinated in still itches weeks later. Didn't really think it was a problem at first till I kept getting a couple itchy welts. I'd scratch so much they would bleed. I am lactose intolerant and eggs are a problem for me too.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-30
- 2022-03-21
- 2022-06-19
- 2022-12-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-12-19 | Moderna | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Im allergic to sulfur and penicillin with an A+ blood type if this info helps
Release 7 — day 0, dose 2
Systemic reaction (other): Allergic to sulfur and penicillin. Blood type A+ and am vitamin D deficient
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Dizziness
Systemic reaction (other): Pain in my armpit and neck on injection side
Systemic reaction (other): Underarm pain is now mild too
Release 11 — day 35, dose 3
Symptoms: The shoulder I was vaccinated in still itches weeks later. Didn't really think it was a problem at first till I kept getting a couple itchy welts. I'd scratch so much they would bleed. I am lactose intolerant and eggs are a problem for me too.
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 |
|---|---|---|---|---|
| SD | Haemorrhage | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Scratch | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Drug hypersensitivity | ○ | ✓ | ○ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Vitamin D deficiency | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release