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ZV8-15021-13065

2 vaccinations 4 coded responses 13 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
296 / SC
Registered
2021-05-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-14
    Dose 1 — Moderna
  2. 2021-05-23
    Registered in v-safe
  3. 2021-05-23
    Survey response — day 7, dose 1
    MedDRA: Anosmia, Axillary mass, Chills, Fatigue, Injection site pain, Nausea, Pain, Pain in extremity, Pre-existing disease, Pyrexia — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: This is the 9th day since my vaccine on 5/14. On 5/15, I had pain at the site of the shot, chills, fever that hit 104.2, fatigue, pain all over, and knot the size of a golf ball under my arm. Knot continued to move and went away on 5/21. Fever fluctuated after 5/15 and left after 5/18. Arm is sore from shot. I have fatigue. I had nausea on 5/19 and 5/21. My sense of smell returned on 5/18 after being gone since Covid in Nov. of 2020. I hope other Covid symptoms will reset, too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-30
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  5. 2021-06-06
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  6. 2021-06-11
    Dose 2 — Moderna
  7. 2021-06-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oedema peripheral — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Yesterday, there was swelling in my arm pit. It seems to be down a little, today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-06-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-06-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-06-18
    Health check-in — day 7, dose 2
    Feeling: Fair · Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-06-25
    Survey response — day 14, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-07-02
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-07-12
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-07-24
    Survey response — day 42, dose 2
    MedDRA: Lethargy, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Worsening Lethargy, more aches and pains
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2021-09-12
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-14Moderna
22021-06-11Moderna

Free text

Release 8 — day 7, dose 1

2021-05-23

Systemic reaction (other): This is the 9th day since my vaccine on 5/14. On 5/15, I had pain at the site of the shot, chills, fever that hit 104.2, fatigue, pain all over, and knot the size of a golf ball under my arm. Knot continued to move and went away on 5/21. Fever fluctuated after 5/15 and left after 5/18. Arm is sore from shot. I have fatigue. I had nausea on 5/19 and 5/21. My sense of smell returned on 5/18 after being gone since Covid in Nov. of 2020. I hope other Covid symptoms will reset, too.

Release 9 — days 1–6 daily, dose 2

2021-06-13

Systemic reaction (other): Yesterday, there was swelling in my arm pit. It seems to be down a little, today.

Release 9 — day 14, dose 2

2021-06-25

Symptoms: Fatigue.

Release 9 — day 42, dose 2

2021-07-24

Symptoms: Worsening Lethargy, more aches and pains

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
SDFatigue ✓ ✓ ✓
SDLethargy ✓ · ✓
SDPain ✓ · ✓
SROAnosmia ✓ ✓ ✓
SROAxillary mass ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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