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28T-13257-35989

3 vaccinations 3 coded responses 16 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
227 / VA
Registered
2022-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-25
    Dose 1 — Moderna
  2. 2021-04-22
    Dose 2 — Moderna
  3. 2022-01-06
    Registered in v-safe
  4. 2022-01-06
    Dose 3 — Moderna
  5. 2022-01-06
    Health check-in — day 0, dose 3
    Feeling: Good · Nausea
    Adult check-in
  6. 2022-01-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Chills, Muscle or body aches
    Adult check-in
  7. 2022-01-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2022-01-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to do your normal daily activities
    Adult check-in
  9. 2022-01-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2022-01-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  11. 2022-01-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Chills
    Adult check-in
  12. 2022-01-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  13. 2022-01-20
    Survey response — day 14, dose 3
    MedDRA: Abdominal pain upper, Confusional state, Nausea, Paraesthesia oral, Pruritus, Urticaria — Feeling: Good · Be unable to do your normal daily activities
    Free text: I think it was a food allergy and not related to the vaccine but it was something I had not experienced before. I had hives all over my body, stomach pain, severe nausea, tingling lips, itchy skin, and confusion.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-01-27
    Survey response — day 21, dose 3
    MedDRA: Injection site pruritus, Vaccination site swelling — Feeling: Good
    Free text: I did notice the area where I got the vaccine was a raised dot. It was itchy and a bump but it appears to be gone now. Weird.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-02-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-02-10
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  17. 2022-02-17
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  18. 2022-04-07
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  19. 2022-07-07
    Survey response — 6 months, dose 3
    MedDRA: COVID-19, Malaise — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I did have Covid in May/June with most symptoms except not fever.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2023-01-06
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-25Moderna No
22021-04-22Moderna No
32022-01-06Moderna No

Free text

Release 10 — day 14, dose 3

2022-01-20

Symptoms: I think it was a food allergy and not related to the vaccine but it was something I had not experienced before. I had hives all over my body, stomach pain, severe nausea, tingling lips, itchy skin, and confusion.

Release 11 — day 21, dose 3

2022-01-27

Symptoms: I did notice the area where I got the vaccine was a raised dot. It was itchy and a bump but it appears to be gone now. Weird.

Release 12 — 6 months, dose 3

2022-07-07

Symptoms: I did have Covid in May/June with most symptoms except not fever.

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
SDAbdominal pain upper · · ✓
SDConfusional state · · ✓
SDCOVID-19 · · ✓
SDInjection site pruritus · · ✓
SDMalaise · · ✓
SDNausea · · ✓
SDParaesthesia oral · · ✓
SDPruritus · · ✓
SDUrticaria · · ✓
SDVaccination site swelling · · ✓

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