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299-15191-12256

2 vaccinations 2 coded responses 8 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
562 / MN
Registered
2021-02-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-01
    Dose 1 — Moderna
  2. 2021-02-06
    Registered in v-safe
  3. 2021-02-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia, Self-medication — Feeling: Good
    Free text: I am not certain if this is anything but I have been experiencing acid indigestion most days since injection, enough so that I have been taking tums or 1/2 tsp baking soda with 4 oz of water well mixed or in one case a dose of pepto bismol
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-15
    Survey response — day 14, dose 1
    MedDRA: Erythema — Feeling: Good
    Free text: Noticed my arm has a reddish area at the injection site about the size of a half dollar. I hadnt been paying much attention to the site thus was surprised to see it. I was thinking it had disappeared later on in that first week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-01
    Dose 2 — Moderna
  8. 2021-03-01
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  11. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-01Moderna
22021-03-01Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-07

Systemic reaction (other): I am not certain if this is anything but I have been experiencing acid indigestion most days since injection, enough so that I have been taking tums or 1/2 tsp baking soda with 4 oz of water well mixed or in one case a dose of pepto bismol

Release 4 — day 14, dose 1

2021-02-15

Symptoms: Noticed my arm has a reddish area at the injection site about the size of a half dollar. I hadnt been paying much attention to the site thus was surprised to see it. I was thinking it had disappeared later on in that first week.

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
SDErythema ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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