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3C5-26437-31601

4 vaccinations 3 coded responses 40 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
319 / GA
Registered
2020-12-23
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-23
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2020-12-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2020-12-30
    Survey response — day 7, dose 1
    MedDRA: Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Lower part of my back in the center. Small little bumps that looked like a had heat bumps. The area is looking like it is drying up some. However, my husband and I are still monitoring the area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-13
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-20
    Dose 2 — Moderna
  13. 2021-01-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  14. 2021-01-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site swelling, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: The site of the injection on my left arm is red in color and swollen some. This is the same arm i had the 1st vaccine in on 12/23/2020. I have been applying cold compress to it. I will continue to monitor it this weekend. I hope it clears up.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  16. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  17. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  18. 2021-01-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-24
    Dose 3 — Moderna
  27. 2021-10-24
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  28. 2021-10-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Just pain at the site. It is a mild pain.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Chills
    Adult check-in
  30. 2021-10-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-14
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-11-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-11-28
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-05
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-03
    Dose 4 — Moderna
  41. 2022-04-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-07-03
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-10-02
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2023-04-03
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna
32021-10-24Moderna No
42022-04-03Moderna No

Free text

Release 1 — day 7, dose 1

2020-12-30

Systemic reaction (other): Lower part of my back in the center. Small little bumps that looked like a had heat bumps. The area is looking like it is drying up some. However, my husband and I are still monitoring the area.

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): The site of the injection on my left arm is red in color and swollen some. This is the same arm i had the 1st vaccine in on 12/23/2020. I have been applying cold compress to it. I will continue to monitor it this weekend. I hope it clears up.

Release 10 — days 1–6 daily, dose 3

2021-10-25

Systemic reaction (other): Just pain at the site. It is a mild pain.

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
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain · · ✓
SROInjection site swelling ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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