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ZTG-14876-50185

2 vaccinations 5 coded responses 18 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
117 / NY
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Moderna
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-04-13
    Health check-in — day 7, dose 1
    Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-29
    Survey response — day 21, dose 1
    MedDRA: Arthralgia, Fatigue, Head discomfort, Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headaches and pressure still present and seems a little worse. Its been over three weeks since my first shot. All my muscle and joints aches still. I am tired ALL the time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-04
    Dose 2 — Moderna
  10. 2021-05-04
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-05-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Office visit, Pre-existing disease, Systemic lupus erythematosus — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lupus flare from vaccine, dr. Confirmed
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-05-13
    Survey response — day 7, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Previous Covid infection detected on bloodwork. I had tested during the time I thought Obwas sick and it was falsely negative. I was convinced the vaccine caused my Lupus Flare but it was the combination of the infection and then vaccine too soon.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-27
    Survey response — day 21, dose 2
    MedDRA: Rash — Feeling: Fair
    Free text: I have a terrible rash on my scalp. Ive never experienced this in my life. I think its from having Covid Itself or from getting the shot not knowing I had previously had Covid.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-02
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-06-17
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-08-05
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-11-02
    Survey response — 6 months, dose 2
    MedDRA: Headache, Nausea, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Nausea, stuffiness, headache
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna
22021-05-04Moderna

Free text

Release 8 — day 21, dose 1

2021-04-29

Symptoms: Headaches and pressure still present and seems a little worse. Its been over three weeks since my first shot. All my muscle and joints aches still. I am tired ALL the time.

Release 8 — days 1–6 daily, dose 2

2021-05-09

Systemic reaction (other): Lupus flare from vaccine, dr. Confirmed

Release 8 — day 7, dose 2

2021-05-13

Systemic reaction (other): Previous Covid infection detected on bloodwork. I had tested during the time I thought Obwas sick and it was falsely negative. I was convinced the vaccine caused my Lupus Flare but it was the combination of the infection and then vaccine too soon.

Release 8 — day 21, dose 2

2021-05-27

Symptoms: I have a terrible rash on my scalp. Ive never experienced this in my life. I think its from having Covid Itself or from getting the shot not knowing I had previously had Covid.

Release 10 — 6 months, dose 2

2021-11-02

Symptoms: Nausea, stuffiness, headache

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
SDArthralgia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHead discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea · · ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SROCondition aggravated ✓ ✓ ✓
SROOffice visit · · ✓
SROPre-existing disease ✓ ✓ ✓
SROSystemic lupus erythematosus ✓ ✓ ✓

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