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3A2-12953-30758

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
926 / CA
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Diarrhea
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness
    Adult check-in
  6. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-16
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-02-23
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Injection site pruritus, Injection site swelling — Feeling: Good
    Free text: Day 8 after 1st vaccine dose injection site was itchy enlarging, pink. Continued getting bigger for 2-3 days. About 3X6 inches. I marked it with a blue pen. Also felt very tired. Continued a week. Now Concerned about getting 2 nd dose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-03
    Survey response — day 21, dose 1
    MedDRA: Blood pressure increased, Heart rate increased — Feeling: Fair
    Free text: Blood pressure heartbeat increased
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-09
    Dose 2 — Moderna
  14. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Headache, Heart rate increased — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: 24 hours after 2nd dose of Moderna I felt exhausted/ shivering/ headache/ heart rate up to 120
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-20
    Survey response — day 42, dose 2
    MedDRA: Gait disturbance — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Shuffling gait
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-09-07
    Survey response — 6 months, dose 2
    MedDRA: Breast cancer, Fatigue, Pain in extremity — Feeling: Fair
    Free text: Breast cancer diagnosis Foot painFatigueBut otherwise..
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-03-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): No

Release 4 — day 14, dose 1

2021-02-23

Symptoms: Day 8 after 1st vaccine dose injection site was itchy enlarging, pink. Continued getting bigger for 2-3 days. About 3X6 inches. I marked it with a blue pen. Also felt very tired. Continued a week. Now Concerned about getting 2 nd dose.

Release 4 — day 21, dose 1

2021-03-03

Symptoms: Blood pressure heartbeat increased

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): 24 hours after 2nd dose of Moderna I felt exhausted/ shivering/ headache/ heart rate up to 120

2021-03-14

Systemic reaction (other): No

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Shuffling gait

Release 9 — 6 months, dose 2

2021-09-07

Symptoms: Breast cancer diagnosis Foot painFatigueBut otherwise..

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 ✓ ✓ ✓
SDBreast cancer · · ✓
SDFatigue ✓ ✓ ✓
SDGait disturbance ✓ ✓ ✓
SDHeart rate increased ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDPain in extremity · · ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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

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