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ZST-32658-87569

3 vaccinations 8 coded responses 41 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
214 / MD
Registered
2021-02-15
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-15
    Registered in v-safe
  2. 2021-02-15
    Dose 1 — Moderna
  3. 2021-02-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-15
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-19
    Dose 2 — Moderna
  14. 2021-03-19
    Survey response — day 0, dose 2
    MedDRA: Injection site nodule, Injection site warmth — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Free text: I have a knot at the injection site and its hot to touch
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Fatigue, Headache — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work
    Free text: Pain in my underarms. In the arm I got my injection in. Also my boy just feels heavy the feeling come out on vet sudden. One minute Im fine the next I feel tired I have A headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Dull pain in my left arm pit where I got my shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  19. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site nodule — Feeling: Good · Site: Itching
    Free text: I still have a knot at my injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  21. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-28
    Dose 3 — Moderna
  30. 2021-10-28
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  31. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Pain — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Pain in my armpit and pain lifting my arm
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Chest pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: My armpit hurts into my chest more then the injecting site
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Myalgia, Oedema peripheral — Feeling: Fair · Site: Swelling · Headache, Muscle or body aches
    Free text: Armpit is swollen and muscle ache into my chest
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-01
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Good · Headache
    Free text: Armpit symptoms are very mild now
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-04
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-18
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-11-25
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  42. 2021-12-09
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-01-27
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-04-28
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  45. 2022-10-28
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-15Moderna
22021-03-19Moderna
32021-10-28Moderna No

Free text

Release 5 — day 0, dose 2

2021-03-19

Systemic reaction (other): I have a knot at the injection site and its hot to touch

Release 6 — days 1–6 daily, dose 2

2021-03-21

Systemic reaction (other): Pain in my underarms. In the arm I got my injection in. Also my boy just feels heavy the feeling come out on vet sudden. One minute Im fine the next I feel tired I have A headache

2021-03-22

Systemic reaction (other): Dull pain in my left arm pit where I got my shot

2021-03-24

Systemic reaction (other): I still have a knot at my injection site

Release 10 — days 1–6 daily, dose 3

2021-10-29

Systemic reaction (other): Pain in my armpit and pain lifting my arm

2021-10-30

Systemic reaction (other): My armpit hurts into my chest more then the injecting site

2021-10-31

Systemic reaction (other): Armpit is swollen and muscle ache into my chest

2021-11-01

Systemic reaction (other): Armpit symptoms are very mild now

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
SROAdverse reaction · · ✓
SROAxillary pain ✓ ✓ ✓
SROChest pain · · ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROMyalgia · · ✓
SROOedema peripheral · · ✓
SROPain ✓ ✓ ✓

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