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ZRL-25300-14602

2 vaccinations 5 coded responses 5 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
801 / CO
Registered
2021-04-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-04-09
    Registered in v-safe
  3. 2021-04-09
    Dose 2 — Moderna
  4. 2021-04-09
    Survey response — day 0, dose 2
    MedDRA: Gingival pain, Oral discomfort, Pain, Painful respiration, Toothache — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Pain in gums, teeth, burning sensation in lips, hurt to take the slightest breath. Every inch of my body was in the severest of pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis, Night sweats, Oral pain, Pain — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Broke out in pretty sweat drenching sweat throughout the night. Pillow was quite moist from the sweat . Still feeling off and on like Ive got little bee stings all over. Including my mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Diaphragmalgia, Injection site pain, Night sweats — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness
    Free text: Night sweats really bad. When I get the chills it feel like needles abs pins in my skin. Lips stating to break out in cold Sores. Pain still at injection sight .Soreness in diaphragm when I take a breath
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Oral herpes — Feeling: Fair · Fatigue or tiredness
    Free text: Fever blisters. Still feel exhaustion when breathing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: Fatigue — Feeling: Good · Chills, Joint pains
    Free text: Exhaustion sets in by mid day.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-09Moderna

Free text

Release 7 — day 0, dose 2

2021-04-09

Systemic reaction (other): Pain in gums, teeth, burning sensation in lips, hurt to take the slightest breath. Every inch of my body was in the severest of pain.

Release 7 — days 1–6 daily, dose 2

2021-04-11

Systemic reaction (other): Broke out in pretty sweat drenching sweat throughout the night. Pillow was quite moist from the sweat . Still feeling off and on like Ive got little bee stings all over. Including my mouth

2021-04-13

Systemic reaction (other): Night sweats really bad. When I get the chills it feel like needles abs pins in my skin. Lips stating to break out in cold Sores. Pain still at injection sight .Soreness in diaphragm when I take a breath

2021-04-14

Systemic reaction (other): Fever blisters. Still feel exhaustion when breathing.

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): Exhaustion sets in by mid day.

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
SROChills ✓ ✓ ✓
SRODiaphragmalgia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGingival pain ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROOral discomfort ✓ ✓ ✓
SROOral herpes ✓ ✓ ✓
SROOral pain ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPainful respiration ✓ ✓ ✓
SROToothache ✓ ✓ ✓

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