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ZP6-10470-57300

4 vaccinations 6 coded responses 19 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
200 / DC
Registered
2021-05-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-18
    Dose 1 — Moderna
  2. 2021-05-16
    Dose 2 — Moderna
  3. 2021-05-17
    Registered in v-safe
  4. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site
    Free text: The rash is not directly around the injection site but below it, a little more than halfway down the upper arm, on the outside of the arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site
    Free text: Buzzing or vibrating sensation in the ears, mainly the right ear. Started on Sunday after receiving the second vaccine dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Free text: The buzzing/tinnitus-like symptoms in my right ear seem to have diminished slightly.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Tinnitus — Feeling: Good · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection site
    Free text: Still intermittent buzzing/tinnitus in right ear.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-25
    Survey response — day 7, dose 2
    MedDRA: Rash, Tinnitus — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection site
    Free text: Still experiencing a fluttering or buzzing sensation in right ear. Rash on left arm still visible but starting to fade.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-30
    Survey response — day 14, dose 2
    MedDRA: Arthralgia, Pain in extremity, Rash — Feeling: Good
    Free text: In addition to the initial arm soreness (which resolved after about 3 or 4 days), and the arm rash which has still not completely faded, I have started to experience what seems like joint pain in my hips, which I have never experienced before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-11-21
    Dose 3 — Moderna
  16. 2022-05-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-05-27
    Dose 4 — Moderna
  18. 2022-06-19
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-06-24
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  20. 2022-07-01
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  21. 2022-07-10
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  22. 2022-08-27
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  23. 2022-11-25
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  24. 2023-05-29
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-18Moderna
22021-05-16Moderna
32021-11-21Moderna No
42022-05-27Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): The rash is not directly around the injection site but below it, a little more than halfway down the upper arm, on the outside of the arm.

2021-05-18

Systemic reaction (other): Buzzing or vibrating sensation in the ears, mainly the right ear. Started on Sunday after receiving the second vaccine dose.

2021-05-21

Systemic reaction (other): The buzzing/tinnitus-like symptoms in my right ear seem to have diminished slightly.

2021-05-22

Systemic reaction (other): Still intermittent buzzing/tinnitus in right ear.

Release 8 — day 7, dose 2

2021-05-25

Systemic reaction (other): Still experiencing a fluttering or buzzing sensation in right ear. Rash on left arm still visible but starting to fade.

Release 8 — day 14, dose 2

2021-05-30

Symptoms: In addition to the initial arm soreness (which resolved after about 3 or 4 days), and the arm rash which has still not completely faded, I have started to experience what seems like joint pain in my hips, which I have never experienced before.

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 ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDRash ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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