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2MJ-22146-11064

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
995 / AK
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-09
    Registered in v-safe
  2. 2021-01-09
    Dose 1 — Moderna
  3. 2021-01-09
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Fair · Site: Swelling · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  5. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Survey response — day 14, dose 1
    MedDRA: Injection site inflammation, Injection site pruritus, Injection site rash, Injection site swelling — Feeling: Good
    Free text: Rash and itching at and surrounding injection site with a mild swelling/inflammation for a few days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-30
    Survey response — day 21, dose 1
    MedDRA: Pruritus — Feeling: Good
    Free text: Pruritis on dorsal aspect of right foot and inner aspect of right forearm. The weather is cold and dry here but my skin is not and I dont think Ive eaten anything different/new...who knows.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-06
    Dose 2 — Moderna
  11. 2021-02-06
    Survey response — day 0, dose 2
    MedDRA: Erythema, Feeling hot, Immediate post-injection reaction — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Warmth and redness on face, arms, and upper chest within 30 minutes of vaccine, which subsided over the next few hours. Note, however, that I was afebrile.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Fatigue or tiredness
    Adult check-in
  13. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  14. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  15. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  16. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-10
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-08-07
    Survey response — 6 months, dose 2
    MedDRA: Depression — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Acute depression due to death by suicide of 18-year-old daughter while at college at (b)(6).
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2022-02-06
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-09Moderna
22021-02-06Moderna

Free text

Release 1 — day 0, dose 1

2021-01-09

Systemic reaction (other): No

Release 2 — day 14, dose 1

2021-01-23

Symptoms: Rash and itching at and surrounding injection site with a mild swelling/inflammation for a few days.

Release 3 — day 21, dose 1

2021-01-30

Symptoms: Pruritis on dorsal aspect of right foot and inner aspect of right forearm. The weather is cold and dry here but my skin is not and I dont think Ive eaten anything different/new...who knows.

Release 3 — day 0, dose 2

2021-02-06

Systemic reaction (other): Warmth and redness on face, arms, and upper chest within 30 minutes of vaccine, which subsided over the next few hours. Note, however, that I was afebrile.

Release 9 — 6 months, dose 2

2021-08-07

Symptoms: Acute depression due to death by suicide of 18-year-old daughter while at college at (b)(6).
redacted (b)(6)

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
SDDepression ✓ · ✓
SDInjection site inflammation ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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

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