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2YV-10960-67268

2 vaccinations 8 coded responses 18 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
279 / NC
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Survey response — day 7, dose 1
    MedDRA: Pre-existing disease — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Had non paralytic polio as a child
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-26
    Dose 2 — Moderna
  7. 2021-03-26
    Survey response — day 0, dose 2
    MedDRA: Arthropod bite — Feeling: Good · Fatigue or tiredness
    Free text: Have removed a tick within the last 24 hours after during lots of yard work and 12 hours after walking in woods on Thurs.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: But those are fairly common for me, shot or not!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia — Feeling: Good · Joint pains
    Free text: Joint pain is ongoing for me so unlikely shot related
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free text: No different than previously reported
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia, Pain, Pre-existing disease — Feeling: Good · Muscle or body aches
    Free text: As before, muscle body aches are tolerable and existed pre shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  13. 2021-04-02
    Health check-in — day 7, dose 2
    Feeling: Good · Muscle or body aches
    Adult check-in
  14. 2021-04-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-23
    Survey response — day 28, dose 2
    MedDRA: Laboratory test abnormal — Feeling: Good
    Free text: This is not new but newly realized. Had blood work drawn between doses. White cell count is low since bloodwork done July 2020. Counterintuitive; I would have expected white count upon response to vaccine. Relative?? Coincidence??
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-03-26
    Survey response — 12 months, dose 2
    MedDRA: Blood pressure increased — Feeling: Good
    Free text: Slightly elevated blood pressure
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-26Moderna

Free text

Release 5 — day 7, dose 1

2021-03-07

Systemic reaction (other): Had non paralytic polio as a child

Release 6 — day 0, dose 2

2021-03-26

Systemic reaction (other): Have removed a tick within the last 24 hours after during lots of yard work and 12 hours after walking in woods on Thurs.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): But those are fairly common for me, shot or not!

2021-03-29

Systemic reaction (other): Joint pain is ongoing for me so unlikely shot related

2021-03-30

Systemic reaction (other): No different than previously reported

2021-03-31

Systemic reaction (other): As before, muscle body aches are tolerable and existed pre shot

Release 7 — day 28, dose 2

2021-04-23

Symptoms: This is not new but newly realized. Had blood work drawn between doses. White cell count is low since bloodwork done July 2020. Counterintuitive; I would have expected white count upon response to vaccine. Relative?? Coincidence??

Release 11 — 12 months, dose 2

2022-03-26

Symptoms: Slightly elevated blood pressure

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
SDBlood pressure increased · · ✓
SDLaboratory test abnormal ✓ ✓ ✓
SROAdverse reaction ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROArthropod bite ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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