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2TP-22411-48654

2 vaccinations 7 coded responses 16 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
206 / MD
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
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Peripheral coldness — Feeling: Good · Chills
    Free text: Feet numbing.. very very cold feeling in the feet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Peripheral coldness — Feeling: Good · Chills
    Free text: Feet for some reason are very very cold
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Muscle spasms — Feeling: Good · Joint pains
    Free text: Feet are finally Warmer but foot cramps
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-30
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-02-06
    Dose 2 — Moderna
  14. 2021-02-13
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: This is being reported a week later as I received no check in last week I had these symptoms the feb 6 weekend
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-27
    Survey response — day 21, dose 2
    MedDRA: Alopecia — Feeling: Fair
    Free text: Losing my hair. Have an Appt to be seen next week . Hair stylist has confirmed that there is a definite hair loss from last seen in January after my first shot Jan 9, now that I have have the 2nd shot ..as of Feb 6 it is clearly seen of the hair loss
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-06
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-03-13
    Survey response — day 35, dose 2
    MedDRA: Alopecia — Feeling: Good
    Free text: Hair loss
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-20
    Survey response — day 42, dose 2
    MedDRA: Alopecia — Feeling: Good
    Free text: Hair loss .. doctor appointment scheduled for April
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

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

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-13

Systemic reaction (other): Feet numbing.. very very cold feeling in the feet

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Feet for some reason are very very cold

2021-01-15

Systemic reaction (other): Feet are finally Warmer but foot cramps

Release 4 — day 7, dose 2

2021-02-13

Systemic reaction (other): This is being reported a week later as I received no check in last week I had these symptoms the feb 6 weekend

Release 4 — day 21, dose 2

2021-02-27

Symptoms: Losing my hair. Have an Appt to be seen next week . Hair stylist has confirmed that there is a definite hair loss from last seen in January after my first shot Jan 9, now that I have have the 2nd shot ..as of Feb 6 it is clearly seen of the hair loss cut off by CDC

Release 5 — day 35, dose 2

2021-03-13

Symptoms: Hair loss

Release 6 — day 42, dose 2

2021-03-20

Symptoms: Hair loss .. doctor appointment scheduled for April

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
SDAlopecia ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROMuscle spasms ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓

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