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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

  1. 2021-01-19
    Dose 1 — Moderna
  2. 2021-01-21
    Registered in v-safe
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  5. 2021-01-26
    Health check-in — day 7, dose 1
    Feeling: Fair · Chills, Headache, Diarrhea
    Adult check-in
  6. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Feeling hot, Pain in extremity, Pruritus, Rash — Feeling: Poor
    Free 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
  7. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-16
    Survey response — day 28, dose 1
    MedDRA: Condition aggravated, Epstein-Barr virus infection reactivation, Fatigue, Pre-existing disease — Feeling: Fair
    Free text: Extremely exhausted. Guessing my EBV was triggered.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-25
    Survey response — day 35, dose 1
    MedDRA: Arthralgia — Feeling: Good
    Free text: Joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-01
    Dose 2 — Moderna
  11. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  12. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Nausea, Vomiting, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-03-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache
    Adult check-in
  15. 2021-03-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-03-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Migraine — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: Migraine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-08
    Survey response — day 7, dose 2
    MedDRA: Rash — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness
    Free text: Small scattered skin eruptions around trunk & limbs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-15
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-03-24
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-03-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-09
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-05-31
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-30
    Survey response — 6 months, dose 2
    MedDRA: Hypoaesthesia, Migraine, Pain — Feeling: Fair · Be unable to work or attend school
    Free 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

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-03-01Moderna

Free text

Release 3 — day 14, dose 1

2021-02-02

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

2021-02-16

Symptoms: Extremely exhausted. Guessing my EBV was triggered.

Release 4 — day 35, dose 1

2021-02-25

Symptoms: Joint pain

Release 5 — days 1–6 daily, dose 2

2021-03-07

Systemic reaction (other): Migraine

Release 5 — day 7, dose 2

2021-03-08

Systemic reaction (other): Small scattered skin eruptions around trunk & limbs

Release 9 — 6 months, dose 2

2021-08-30

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDCondition aggravated ✓ · ✓
SDEpstein-Barr virus infection reactivation ○ ✓ ○
SDFatigue ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDHypoaesthesia ✓ · ✓
SDMigraine ✓ · ✓
SDPain ✓ · ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROMigraine ✓ ✓ ✓
SRORash ✓ ✓ ✓

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