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ZYK-71287-40490

3 vaccinations 8 coded responses 35 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
980 / WA
Registered
2021-03-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-12
    Dose 1 — Moderna
  2. 2021-03-14
    Registered in v-safe
  3. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Muscle ache in upper right arm, as though the vaccine was theres however it was in my left arm which is fine. The opposite side pain has gradually built up over the last 48 hours-ish. No explanation for it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia, Pain in extremity — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Free text: As before, muscle arching in upper right arm, as though inoculation was at that site, except it was in left arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-09
    Dose 2 — Moderna
  11. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Injection site discomfort — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Mild discomfort at injection site, definitely not pain. Extreamly tired, exactly like bad jet lag
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-16
    Survey response — day 7, dose 2
    MedDRA: Ear swelling, Tenderness — Feeling: Good
    Free text: As previously mentioned, the tenderness & swelling below left ear, now for ten days but as another person had it appear a few days before 2nd jab, continues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-25
    Dose 3 — Moderna
    Co-administered: Flu
  26. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Headache, Pyrexia — Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Excessively tired, low grade headache & fever
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Adverse reaction — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Symtoms definitely easing off with time
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Headache — Feeling: Good · Headache
    Free text: Very mild headache since 18 hours fom recieving vaccine, sure it's related as I rarely get headaches
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-11-22
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-01-24
    Survey response — 3 months, dose 3
    MedDRA: Exposure to SARS-CoV-2, Fatigue, Headache, Injection site pain, Oropharyngeal pain, Pharyngeal swelling — Feeling: Good · Be unable to do your normal daily activities
    Free text: Sore throat (swollen, no cough) arm pain at sitecof flue innoculation. Headache. Fatigue. Close exposure in household from daughter who PCR tested positive COVID-19
    MedDRA releases: 2024-11 · check-in free text available
  38. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-10-25
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-12Moderna
22021-04-09Moderna
32021-10-25Moderna Flu

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Muscle ache in upper right arm, as though the vaccine was theres however it was in my left arm which is fine. The opposite side pain has gradually built up over the last 48 hours-ish. No explanation for it

2021-03-18

Systemic reaction (other): As before, muscle arching in upper right arm, as though inoculation was at that site, except it was in left arm

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Mild discomfort at injection site, definitely not pain. Extreamly tired, exactly like bad jet lag

Release 7 — day 7, dose 2

2021-04-16

Systemic reaction (other): As previously mentioned, the tenderness & swelling below left ear, now for ten days but as another person had it appear a few days before 2nd jab, continues

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Excessively tired, low grade headache & fever

2021-10-28

Systemic reaction (other): Symtoms definitely easing off with time

2021-10-29

Systemic reaction (other): Very mild headache since 18 hours fom recieving vaccine, sure it's related as I rarely get headaches

Release 11 — 3 months, dose 3

2022-01-24

Symptoms: Sore throat (swollen, no cough) arm pain at sitecof flue innoculation. Headache. Fatigue. Close exposure in household from daughter who PCR tested positive COVID-19

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
SDExposure to SARS-CoV-2 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDInjection site pain · · ✓
SDOropharyngeal pain · · ✓
SDPharyngeal swelling · · ✓
SROAdverse reaction · · ✓
SROEar swelling ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache · · ✓
SROInjection site discomfort ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia · · ✓
SROTenderness ✓ ✓ ✓

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