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27K-20868-86990

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
974 / OR
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Slightly sore injection arm (left)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills — Feeling: Good · Chills
    Free text: Seems strange to have chills today. Not bad just mild.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills — Feeling: Good · Chills
    Free text: Chills off/ on in afternoon
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-02
    Dose 2 — Moderna
  13. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  14. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: 2nd shot. Have multiple myeloma, cancer. Feel well
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills
    Adult check-in
  17. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-23
    Survey response — day 21, dose 2
    MedDRA: Bone pain, Chills — Feeling: Fair
    Free text: Chills, and bone pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-04-30
    Survey response — day 28, dose 2
    MedDRA: Diarrhoea, Faeces discoloured, Plasma cell myeloma — Feeling: Good
    Free text: My green diarrhea finally stopped 10days after my last shot. I did not eatgreenfood. I spoke with my oncologist, we couldn't figure it out. I am regular color, no more green, and the shot is the only thing that was different.MULTIPLE MYELOMA
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-14
    Survey response — day 42, dose 2
    MedDRA: Chills, Diarrhoea, Pyrexia — Feeling: Good
    Free text: Chills, fever Wednesday, and diarrhea. Slept for nearly 10 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-07-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-01
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea, Nasal congestion, Pre-existing disease — Feeling: Fair
    Free text: Nose is clogged, or semi clogged, causing difficulty breathing. I have multiple myeloma and just recently moved to indiana, so that may be issue as well.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-02Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-06

Systemic reaction (other): Slightly sore injection arm (left)

2021-03-08

Systemic reaction (other): Seems strange to have chills today. Not bad just mild.

2021-03-10

Systemic reaction (other): Chills off/ on in afternoon

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): 2nd shot. Have multiple myeloma, cancer. Feel well

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Chills, and bone pain

Release 8 — day 28, dose 2

2021-04-30

Symptoms: My green diarrhea finally stopped 10days after my last shot. I did not eatgreenfood. I spoke with my oncologist, we couldn't figure it out. I am regular color, no more green, and the shot is the only thing that was different.MULTIPLE MYELOMA

Release 8 — day 42, dose 2

2021-05-14

Symptoms: Chills, fever Wednesday, and diarrhea. Slept for nearly 10 hours.

Release 9 — 6 months, dose 2

2021-10-01

Symptoms: Nose is clogged, or semi clogged, causing difficulty breathing. I have multiple myeloma and just recently moved to indiana, so that may be issue as well.

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
SDBone pain ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDyspnoea · · ✓
SDFaeces discoloured ✓ ✓ ✓
SDNasal congestion · · ✓
SDPlasma cell myeloma ✓ ✓ ✓
SDPre-existing disease · · ✓
SDPyrexia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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

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