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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

  1. 2021-03-31
    Registered in v-safe
  2. 2021-03-31
    Dose 1 — Moderna
  3. 2021-03-31
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-04-07
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache
    Adult check-in
  11. 2021-04-14
    Survey response — day 14, dose 1
    MedDRA: Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Peripheral swelling, Pruritus — Feeling: Good · Be unable to do your normal daily activities
    Free 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 now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Dose 2 — Moderna
  14. 2021-04-28
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  16. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  18. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  19. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  21. 2021-05-05
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  22. 2021-05-12
    Survey response — day 14, dose 2
    MedDRA: Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-05-26
    Survey response — day 28, dose 2
    MedDRA: Syncope, Tinnitus — Feeling: Fair · Be unable to work
    Free 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 up
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-06-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-27
    Survey response — 6 months, dose 2
    MedDRA: Chest pain — Feeling: Good
    Free 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
  29. 2021-12-16
    Dose 3 — Moderna
  30. 2022-04-28
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  31. 2022-10-03
    Dose 4 — Moderna
  32. 2022-10-16
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-10-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-10-24
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-10-31
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-11-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-11-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2023-01-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2023-04-03
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-31Moderna
22021-04-28Moderna
32021-12-16Moderna No
42022-10-03Moderna No

Free text

Release 7 — day 14, dose 1

2021-04-14

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

2021-05-12

Symptoms: Headache

Release 8 — day 28, dose 2

2021-05-26

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

2021-10-27

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

FieldPreferred term2021-092023-042024-11
SDChest pain · · ✓
SDErythema · · ✓
SDHeadache ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ○
SDInjection site pruritus ✓ ✓ ○
SDInjection site swelling ✓ ✓ ○
SDPeripheral swelling ✓ ✓ ✓
SDPruritus · · ✓
SDSyncope ✓ ✓ ✓
SDTinnitus ✓ ✓ ✓

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