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2Z5-18223-72681

1 vaccination 5 coded responses 15 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
274 / NC
Registered
2021-03-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Registered in v-safe
  2. 2021-03-08
    Dose 1 — Moderna
  3. 2021-03-08
    Survey response — day 0, dose 1
    MedDRA: Blood pressure increased, Chest discomfort, Rash — Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection site
    Free text: Slight chest tightness, feeling that BP may have been elevated, along with rash on arms for 3 hours post injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  10. 2021-03-15
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-22
    Survey response — day 14, dose 1
    MedDRA: Injection site reaction — Feeling: Good
    Free text: I have been aware of my heart beating when I wake up which normally isn't something I notice. I saw the cdc warning not to get second dose if severe or mild allergic reaction after the first dose. What should I do about this?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-05
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-14
    Survey response — day 35, dose 1
    MedDRA: Diarrhoea — Feeling: Fair
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-21
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  16. 2021-09-06
    Survey response — 6 months, dose 1
    MedDRA: Arthralgia, Pain, Pain in extremity — Feeling: Good
    Free text: Chronic arm and shoulder pain
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  17. 2022-03-10
    Survey response — 12 months, dose 1
    MedDRA: Insomnia, Pulse abnormal — Feeling: Fair
    Free text: Insomnia Heart beat - pulse issues
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna

Free text

Release 5 — day 0, dose 1

2021-03-08

Systemic reaction (other): Slight chest tightness, feeling that BP may have been elevated, along with rash on arms for 3 hours post injection.

Release 6 — day 14, dose 1

2021-03-22

Symptoms: I have been aware of my heart beating when I wake up which normally isn't something I notice. I saw the cdc warning not to get second dose if severe or mild allergic reaction after the first dose. What should I do about this?

Release 7 — day 35, dose 1

2021-04-14

Symptoms: Diarrhea

Release 9 — 6 months, dose 1

2021-09-06

Symptoms: Chronic arm and shoulder pain

Release 11 — 12 months, dose 1

2022-03-10

Symptoms: Insomnia Heart beat - pulse issues

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
SDArthralgia ✓ · ✓
SDDiarrhoea ✓ ✓ ✓
SDInjection site reaction ✓ ✓ ✓
SDInsomnia · · ✓
SDPain ✓ · ✓
SDPain in extremity ✓ · ✓
SDPulse abnormal · · ✓
SROBlood pressure increased ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SRORash ✓ ✓ ✓

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