ZPG-33504-84279
4 vaccinations
9 coded responses
33 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 017 / MA
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Dose 1 — Moderna
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2021-04-14
Registered in v-safe
- 2021-04-14
- 2021-04-19
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2021-04-26
Dose 2 — Moderna
- 2021-04-26
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Good · Site: Pain, Redness · Muscle or body achesFree text: My eyes have sore since the day after the shotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain, Fatigue, Injection site pain, Injection site pruritus, Injection site rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: The rash on my arm at the injection site got bigger, was moe sore, and was more itchy. My eyes hurt. I am fatigued.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling · Headache, Fatigue or tirednessFree text: The rash on my arm is quite large, probably 5-6 inches in diameterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Fair · Site: Redness, SwellingFree text: Rash is still quite extensive on arm where injection was receivedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-03
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Site: RednessFree text: Rash seems to be fadingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-17
- 2021-05-26
- 2021-05-31
- 2021-06-07
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2021-07-26
Survey response — 3 months, dose 2MedDRA: Headache, Reaction to previous exposure to any vaccine — Feeling: FairFree text: Severe headache at base of skull, very similar to severe headaches that I experienced for weeks after my second Covid shotMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-10-27
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2021-12-02
Dose 3 — Moderna
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2022-04-25
Dose 4 — Moderna
- 2022-04-25
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2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Chills, Muscle or body achesAdult check-in
- 2022-04-27
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2022-04-28
Survey response — days 1–6 daily, dose 4MedDRA: Rash, Reaction to previous exposure to any vaccine — Feeling: Good · Site: PainFree text: Small rash above injection site on left shoulder. Nothing like previous three rash's with shots 1,2 and 3. Those rashers covered my right arm from shoulder to elbow.MedDRA releases: 2024-11 · check-in free text available
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2022-04-29
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain, Rash — Feeling: Good · Site: Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: Rash is getting bigger. Injection site pain is just about gone.MedDRA releases: 2024-11 · check-in free text available
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2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2022-05-01
Survey response — days 1–6 daily, dose 4MedDRA: Rash — Feeling: Good · Site: Redness, SwellingFree text: Rash continues to grow in size.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-07-25
- 2022-10-24
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My eyes have sore since the day after the shot
Systemic reaction (other): The rash on my arm at the injection site got bigger, was moe sore, and was more itchy. My eyes hurt. I am fatigued.
Systemic reaction (other): The rash on my arm is quite large, probably 5-6 inches in diameter
Systemic reaction (other): Rash is still quite extensive on arm where injection was received
Release 8 — day 7, dose 2
Systemic reaction (other): Rash seems to be fading
Release 9 — 3 months, dose 2
Symptoms: Severe headache at base of skull, very similar to severe headaches that I experienced for weeks after my second Covid shot
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Small rash above injection site on left shoulder. Nothing like previous three rash's with shots 1,2 and 3. Those rashers covered my right arm from shoulder to elbow.
Systemic reaction (other): Rash is getting bigger. Injection site pain is just about gone.
Systemic reaction (other): Rash continues to grow in size.
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 | Headache | ✓ | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | ✓ | · | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release