ZXY-32174-89404
2 vaccinations
6 coded responses
20 check-ins
6 free-text entries
0 call cases
- Sex
- —
- Age at first dose
- 46-50
- ZIP prefix
- 053 / VT
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-19
Dose 1 — Moderna
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2021-01-21
Registered in v-safe
- 2021-01-22
- 2021-01-24
- 2021-01-26
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2021-02-02
Survey response — day 14, dose 1MedDRA: Feeling hot, Pain in extremity, Pruritus, Rash — Feeling: PoorFree text: Last week, on day 8 post shot, my arm got hot, itchy and very painful. I then developed a rash. It was this for about 72 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
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2021-02-16
Survey response — day 28, dose 1MedDRA: Condition aggravated, Epstein-Barr virus infection reactivation, Fatigue, Pre-existing disease — Feeling: FairFree text: Extremely exhausted. Guessing my EBV was triggered.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — day 35, dose 1MedDRA: Arthralgia — Feeling: GoodFree text: Joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Dose 2 — Moderna
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Migraine — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: MigraineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Fair · Fever · Chills, Headache, Fatigue or tirednessFree text: Small scattered skin eruptions around trunk & limbsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-24
- 2021-03-29
- 2021-04-09
- 2021-05-31
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2021-08-30
Survey response — 6 months, dose 2MedDRA: Hypoaesthesia, Migraine, Pain — Feeling: Fair · Be unable to work or attend schoolFree text: For the last 3 to 4 months the arm that I got my injection in has been going numb and Ive been in pain. It got a cute about six weeks ago, extremely painful. Waiting on MRI results for this issue and constant migraines.MedDRA releases: 2021-09,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-03-01 | Moderna |
Free text
Release 3 — day 14, dose 1
Symptoms: Last week, on day 8 post shot, my arm got hot, itchy and very painful. I then developed a rash. It was this for about 72 hours.
Release 4 — day 28, dose 1
Symptoms: Extremely exhausted. Guessing my EBV was triggered.
Release 4 — day 35, dose 1
Symptoms: Joint pain
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Migraine
Release 5 — day 7, dose 2
Systemic reaction (other): Small scattered skin eruptions around trunk & limbs
Release 9 — 6 months, dose 2
Symptoms: For the last 3 to 4 months the arm that I got my injection in has been going numb and Ive been in pain. It got a cute about six weeks ago, extremely painful. Waiting on MRI results for this issue and constant migraines.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Condition aggravated | ✓ | · | ✓ |
| SD | Epstein-Barr virus infection reactivation | ○ | ✓ | ○ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | · | ✓ |
| SD | Migraine | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Migraine | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release