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36R-27190-91684

2 vaccinations 3 coded responses 15 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
894 / NV
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: Fair · Site: Pain, Redness, Swelling, Itching · Headache
    Adult check-in
  4. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  5. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  7. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-01-16
    Survey response — day 7, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: The swelling at the injection site was almost gone and today it came back and is red and swollen and extremely itchy. That started this morning and the swelling has more than doubled in size.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-23
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Paraesthesia — Feeling: Fair
    Free text: 1/16 injection site flared for 24 hrs - red, hot, swollen (softball), burning pain. Increased fatigue for 4-5 days. Paresthesia on right side of body onset 1/16, has lessened daily, still present. Injection site has been itchy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-30
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Paraesthesia — Feeling: Fair
    Free text: I just want to note that I still have lingering parasthesia on the right side of my body and fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-06
    Dose 2 — Moderna
  12. 2021-02-06
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Headache
    Adult check-in
  15. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  16. 2021-02-13
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-08-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-02-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

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

Free text

Release 2 — day 7, dose 1

2021-01-16

Systemic reaction (other): The swelling at the injection site was almost gone and today it came back and is red and swollen and extremely itchy. That started this morning and the swelling has more than doubled in size.

Release 2 — day 14, dose 1

2021-01-23

Symptoms: 1/16 injection site flared for 24 hrs - red, hot, swollen (softball), burning pain. Increased fatigue for 4-5 days. Paresthesia on right side of body onset 1/16, has lessened daily, still present. Injection site has been itchy.

Release 3 — day 21, dose 1

2021-01-30

Symptoms: I just want to note that I still have lingering parasthesia on the right side of my body and fatigue.

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
SDFatigue ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓

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