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ZQX-32774-44069

1 vaccination 8 coded responses 9 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
129 / NY
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Oropharyngeal pain, Throat irritation, Tongue pruritus — Feeling: Fair · Site: Pain · Headache, Joint pains, Abdominal pain
    Free text: Itchy tongue and throat with some throat soreness within 15 minutes of receiving vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Chest discomfort — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Burning in hands, some chest pressure that comes and goes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Burning sensation, Dizziness, Pain, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Random intense pains and burning in my body. Aching hands. Dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  7. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Periodic dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain, Breast pain, Dermatitis psoriasiform, Pruritus, Rash — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Abdominal pain, Rash, not including the immediate area around the injection site
    Free text: Itchy Psoriasis type rash underarms, on breast, and elbow. Period-like cramping and painful breasts-negative pregnancy test.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-18
    Survey response — day 7, dose 1
    MedDRA: Burning sensation, Dizziness — Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Dizziness, periodic waves of burning like the second day after vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-25
    Survey response — day 14, dose 1
    MedDRA: Chest discomfort, Chest pain, Dyspnoea, Oropharyngeal pain, Painful respiration, Paraesthesia oral, Pharyngeal paraesthesia, Rash, Rash pruritic, Self-medication — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very itchy rash on arm, in underarms, on breast, and elbow. Chest tightness and throat/chest pain.Tingling in tongue and throat. Required Benadryl and inhaler to treat. Difficulty breathing and pain happened for two days.Periodically continuing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-01
    Survey response — day 21, dose 1
    MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sore throat, slight cough, runny nose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Itchy tongue and throat with some throat soreness within 15 minutes of receiving vaccine.

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Burning in hands, some chest pressure that comes and goes.

2021-03-13

Systemic reaction (other): Random intense pains and burning in my body. Aching hands. Dizziness.

2021-03-16

Systemic reaction (other): Periodic dizziness

2021-03-17

Systemic reaction (other): Itchy Psoriasis type rash underarms, on breast, and elbow. Period-like cramping and painful breasts-negative pregnancy test.

Release 5 — day 7, dose 1

2021-03-18

Systemic reaction (other): Dizziness, periodic waves of burning like the second day after vaccination

Release 6 — day 14, dose 1

2021-03-25

Symptoms: Very itchy rash on arm, in underarms, on breast, and elbow. Chest tightness and throat/chest pain.Tingling in tongue and throat. Required Benadryl and inhaler to treat. Difficulty breathing and pain happened for two days.Periodically continuing

Release 6 — day 21, dose 1

2021-04-01

Symptoms: Sore throat, slight cough, runny nose.

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
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPainful respiration ✓ ✓ ✓
SDParaesthesia oral ✓ ✓ ✓
SDPharyngeal paraesthesia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRODermatitis psoriasiform ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROThroat irritation ✓ ✓ ✓
SROTongue pruritus ✓ ✓ ✓

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