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2AW-26264-52217

2 vaccinations 1 coded response 8 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
740 / OK
Registered
2021-09-02
Relationship
Self
Race
American Indian or Alaska Native
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-09-02
    Registered in v-safe
  2. 2021-09-02
    Dose 1 — Moderna
  3. 2021-09-02
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2021-09-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-09-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-09-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Headache
    Free text: Rash down my arm whereni got injection and itchy swollen
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  7. 2021-09-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · None
    Adult check-in
  8. 2021-09-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-09-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-10-07
    Dose 2 — Moderna
  11. 2021-10-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-09-02Moderna No
22021-10-07Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-09-05

Systemic reaction (other): Rash down my arm whereni got injection and itchy swollen

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
SROInjection site pruritus ✓ · ✓
SROInjection site rash ✓ · ✓
SROInjection site swelling ✓ · ✓
SRORash ✓ · ✓

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