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2Y3-27670-64786

1 vaccination 2 coded responses 10 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
807 / CO
Registered
2021-10-14
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-10-14
    Registered in v-safe
  2. 2021-10-14
    Dose 1 — Moderna
  3. 2021-10-14
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-10-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-10-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-10-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  7. 2021-10-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting
    Adult check-in
  8. 2021-10-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-10-22
    Survey response — day 7, dose 1
    MedDRA: Injection site nodule, Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Nausea
    Free text: Knot in injection area just all of a sudden became hige and swollen and hurts
    MedDRA releases: 2024-11 · check-in free text available
  10. 2021-10-28
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2022-04-14
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  12. 2022-10-14
    Survey response — 12 months, dose 1
    MedDRA: Abortion spontaneous, Coagulopathy — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Blood clotting disorder, several miscarriages
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-10-14Moderna No

Free text

Release 10 — day 7, dose 1

2021-10-22

Systemic reaction (other): Knot in injection area just all of a sudden became hige and swollen and hurts

Release 12 — 12 months, dose 1

2022-10-14

Symptoms: Blood clotting disorder, several miscarriages

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
SDAbortion spontaneous · · ✓
SDCoagulopathy · · ✓
SROInjection site nodule · · ✓
SROInjection site pain · · ✓
SROInjection site swelling · · ✓

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