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2F3-27712-07128

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
913 / CA
Registered
2021-02-12
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Registered in v-safe
  2. 2021-02-12
    Dose 1 — Moderna
  3. 2021-02-12
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Dry mouth, Dry throat, Paraesthesia, Swollen tongue, Tongue dry — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site
    Free text: Slight facial tingling and slight tongue swelling and dryness. Had dry throat with slight cough late yesterday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Pre-existing disease, Tongue dry — Feeling: Good · Joint pains
    Free text: Tongue still dry but not as much as yesterday. Left thumb joint where it's arthritic was painfull yestarday but fine today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dry throat, Tongue dry — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Dry troast a d tongue, not as bad as previous two days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Respiratory tract congestion — Feeling: Good
    Free text: Don't know if I've been having allergy or if from vaccine. Throat slightly congested last three days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Dose 2 — Moderna
  14. 2021-03-12
    Survey response — day 0, dose 2
    MedDRA: Tongue dry — Feeling: Good
    Free text: Tongue feels dry
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sinus headache — Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: Bad sinus headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  17. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Nausea
    Adult check-in
  18. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea — Feeling: Good · Nausea
    Free text: Just slight quesy feeling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-09
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-15

Systemic reaction (other): Slight facial tingling and slight tongue swelling and dryness. Had dry throat with slight cough late yesterday.

2021-02-16

Systemic reaction (other): Tongue still dry but not as much as yesterday. Left thumb joint where it's arthritic was painfull yestarday but fine today.

2021-02-17

Systemic reaction (other): Dry troast a d tongue, not as bad as previous two days.

2021-02-18

Systemic reaction (other): Don't know if I've been having allergy or if from vaccine. Throat slightly congested last three days.

Release 5 — day 0, dose 2

2021-03-12

Systemic reaction (other): Tongue feels dry

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): Bad sinus headache

2021-03-17

Systemic reaction (other): Just slight quesy feeling.

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
SROCough ✓ ✓ ✓
SRODry mouth ○ ✓ ○
SRODry throat ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSinus headache ✓ ✓ ✓
SROSwollen tongue ✓ ✓ ✓
SROTongue dry ✓ ✓ ✓

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

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