ZW6-19018-93084
4 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 275 / NC
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
-
2021-04-14
Survey response — day 14, dose 1MedDRA: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Peripheral swelling, Pruritus — Feeling: Good · Be unable to do your normal daily activitiesFree text: From the fourth day of vaccination, the arm began to be swollen, red, and itchy, and then it became more and more serious, and the worst was the eighth day, and then the swelling gradually subsided, but it is still itchy until nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
-
2021-04-28
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
-
2021-05-12
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
-
2021-05-26
Survey response — day 28, dose 2MedDRA: Syncope, Tinnitus — Feeling: Fair · Be unable to workFree text: This Sunday afternoon, my left ear seemed to rang twice, and then I fainted immediately for about half a hour before I was able to stand upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-09
- 2021-07-28
-
2021-10-27
Survey response — 6 months, dose 2MedDRA: Chest pain — Feeling: GoodFree text: Chest pain for 1-2 minutes each time, and then pain gone away. It happened 4 times.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-16
Dose 3 — Moderna
- 2022-04-28
-
2022-10-03
Dose 4 — Moderna
- 2022-10-16
- 2022-10-18
- 2022-10-24
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2023-01-02
- 2023-04-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-10-03 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: From the fourth day of vaccination, the arm began to be swollen, red, and itchy, and then it became more and more serious, and the worst was the eighth day, and then the swelling gradually subsided, but it is still itchy until now
Release 8 — day 14, dose 2
Symptoms: Headache
Release 8 — day 28, dose 2
Symptoms: This Sunday afternoon, my left ear seemed to rang twice, and then I fainted immediately for about half a hour before I was able to stand up
Release 10 — 6 months, dose 2
Symptoms: Chest pain for 1-2 minutes each time, and then pain gone away. It happened 4 times.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Chest pain | · | · | ✓ |
| SD | Erythema | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ○ |
| SD | Injection site pruritus | ✓ | ✓ | ○ |
| SD | Injection site swelling | ✓ | ✓ | ○ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Syncope | ✓ | ✓ | ✓ |
| SD | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release