ZPM-15704-52367
2 vaccinations
3 coded responses
14 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 731 / OK
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Injected limb mobility decreased, Nausea, Pain in extremity, Sleep disorder — Feeling: Good · Site: PainFree text: Yesterday when I did the survey my arm kinda hurt but continually hurt more if I tried to raise it. If I raised it above my head it made me nauseous. The arm muscle didnt hurt if it was down. I was unable to sleep on my left side since my left arm hurt.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-18
Survey response — day 14, dose 1MedDRA: Rash pruritic — Feeling: GoodFree text: On 8th day after vaccine I had a itchy rash on my shot arm that lasted 1 1/2 days then went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
-
2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I went back to bed most of the day & got up at 3:50pm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-07-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Yesterday when I did the survey my arm kinda hurt but continually hurt more if I tried to raise it. If I raised it above my head it made me nauseous. The arm muscle didnt hurt if it was down. I was unable to sleep on my left side since my left arm hurt.
Release 5 — day 14, dose 1
Symptoms: On 8th day after vaccine I had a itchy rash on my shot arm that lasted 1 1/2 days then went away
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I went back to bed most of the day & got up at 3:50pm.
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 | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release