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ZPN-31513-73058

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
030 / NH
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-03-09
    Dose 2 — Moderna
  3. 2021-03-10
    Registered in v-safe
  4. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Asthenia, Chills, Flushing, Immediate post-injection reaction, Malaise, Pain, Vaccine positive rechallenge — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: I felt pain within a few minutes of receiving the vaccine. Within the first two hours of receiving the 2nd dose, I felt flushed as well as weakness and my stomach was upset (just like after the first dose). Around the 6 hour mark, I had chills and felt sick to my stomach (the same after receiving my first dose).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Fatigue or tiredness, Diarrhea
    Adult check-in
  7. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Nausea, Oropharyngeal pain, Pruritus, Self-medication — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: When I got the second shot on Tuesday, March 9th, I got and itchy thought around the 2 hour mark. Later, the glands on my right side of my ne k were swilled and I had a sore throat. I have had a sore throat and swollen glands on the right side of my neck since then. I got the vaccine on my right arm. Today, though, I feel worse. My throat and swollen glands are more painful, even after taking Ibuprofen. I also feel just lousy today. I am nauseated and just feel blah!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  9. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Swelling · Chills, Fatigue or tiredness
    Free text: My throat as well as the glands on the right side of my neck are sore. They were worse on Monday, 3/15/21 than today, 3/16/21.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  11. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

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

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): I felt pain within a few minutes of receiving the vaccine. Within the first two hours of receiving the 2nd dose, I felt flushed as well as weakness and my stomach was upset (just like after the first dose). Around the 6 hour mark, I had chills and felt sick to my stomach (the same after receiving my first dose).

2021-03-13

Systemic reaction (other): When I got the second shot on Tuesday, March 9th, I got and itchy thought around the 2 hour mark. Later, the glands on my right side of my ne k were swilled and I had a sore throat. I have had a sore throat and swollen glands on the right side of my neck since then. I got the vaccine on my right arm. Today, though, I feel worse. My throat and swollen glands are more painful, even after taking Ibuprofen. I also feel just lousy today. I am nauseated and just feel blah!

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): My throat as well as the glands on the right side of my neck are sore. They were worse on Monday, 3/15/21 than today, 3/16/21.

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
SROAbdominal discomfort ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROVaccine positive rechallenge ✓ ✓ ✓

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