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2BH-16644-79873

2 vaccinations 5 coded responses 14 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
956 / CA
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Survey response — day 21, dose 1
    MedDRA: Injection site erythema, Injection site mass, Injection site pain, Injection site pruritus — Feeling: Good
    Free text: The day after my 1st vaccine 1-22-21 my arm was sore & red around injection site. Today 2-12-21 the area is still pink, has a lump & is tender.The injection site was itchy the first couple of weeks. Am concerned about 2nd shot on 2-20-21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-18
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-20
    Dose 2 — Moderna
  6. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache
    Adult check-in
  7. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Redness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Vomiting
    Adult check-in
  10. 2021-03-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-13
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  12. 2021-03-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-27
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-04-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-22
    Survey response — 3 months, dose 2
    MedDRA: Abdominal discomfort, Abdominal distension, Dyspepsia, Frequent bowel movements — Feeling: Good
    Free text: Digestive upset, feeling full & uncomfortable. Frequent BMs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-08-21
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea, Smoke sensitivity — Feeling: Fair
    Free text: Breathing extremely poor AQI from No. California fires.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2022-02-20
    Survey response — 12 months, dose 2
    MedDRA: Atelectasis, Heart rate increased, Lung disorder, Oxygen saturation decreased — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Lung issues, Atelectasis, with low oxygen levels And elevated pulse.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-20Moderna

Free text

Release 4 — day 21, dose 1

2021-02-12

Symptoms: The day after my 1st vaccine 1-22-21 my arm was sore & red around injection site. Today 2-12-21 the area is still pink, has a lump & is tender.The injection site was itchy the first couple of weeks. Am concerned about 2nd shot on 2-20-21

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): No

Release 8 — 3 months, dose 2

2021-05-22

Symptoms: Digestive upset, feeling full & uncomfortable. Frequent BMs

Release 9 — 6 months, dose 2

2021-08-21

Symptoms: Breathing extremely poor AQI from No. California fires.

Release 11 — 12 months, dose 2

2022-02-20

Symptoms: Lung issues, Atelectasis, with low oxygen levels And elevated pulse.

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 discomfort ✓ ✓ ✓
SDAbdominal distension ✓ ✓ ✓
SDAtelectasis · · ✓
SDDyspepsia ✓ ✓ ✓
SDDyspnoea ✓ · ✓
SDFrequent bowel movements ✓ ✓ ✓
SDHeart rate increased · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site mass ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDLung disorder · · ✓
SDOxygen saturation decreased · · ✓
SDSmoke sensitivity ✓ · ✓
SRONo adverse event ✓ ✓ ✓

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