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3EG-24085-94566

2 vaccinations 9 coded responses 12 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
200 / DC
Registered
2021-03-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Dose 2 — Moderna
  4. 2021-03-09
    Survey response — day 0, dose 2
    MedDRA: Irritability — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Irritability
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Epistaxis, Mucosal induration, Nasal mucosal disorder — Feeling: Fair · Site: Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Mucous in my nose, some hardened sheets of mucous and little blood
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Epistaxis, Nasal mucosal discolouration, Secretion discharge — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Some dizzines yesterday and this morning. Also still flat semi hard mucous and bloody muscous in my nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Increased viscosity of upper respiratory secretion, Secretion discharge — Feeling: Good · Site: Swelling · Diarrhea
    Free text: Still blood hard and soft/thick mucous in the nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: Epistaxis, Rhinorrhoea — Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tiredness
    Free text: Still blood on the nose. A little more runny last night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-25
    Survey response — day 14, dose 2
    MedDRA: Epistaxis — Feeling: Good
    Free text: Still sheets of blood somewhat dry mucous coming out of nose.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-30
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-06
    Survey response — day 28, dose 2
    MedDRA: Dizziness, Epistaxis, Fatigue, Rhinorrhoea — Feeling: Good
    Free text: I feel dizziness Dried blood and mucous in my noseFatique
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-15
    Survey response — day 35, dose 2
    MedDRA: Dizziness, Epistaxis, Lymphadenopathy — Feeling: Good
    Free text: The semi dry blood coming out of my nose. And swelling of ?lymph nodes? Under my chin. Alittle dizzines this mirning
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-22
    Survey response — day 42, dose 2
    MedDRA: Epistaxis, Rhinorrhoea — Feeling: Good
    Free text: Bloody nose. Its not real runny but more than before
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-06-10
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

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

Free text

Release 5 — day 0, dose 2

2021-03-09

Systemic reaction (other): Irritability

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Mucous in my nose, some hardened sheets of mucous and little blood

2021-03-14

Systemic reaction (other): Some dizzines yesterday and this morning. Also still flat semi hard mucous and bloody muscous in my nose

2021-03-15

Systemic reaction (other): Still blood hard and soft/thick mucous in the nose

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Still blood on the nose. A little more runny last night

Release 6 — day 14, dose 2

2021-03-25

Symptoms: Still sheets of blood somewhat dry mucous coming out of nose.

Release 7 — day 28, dose 2

2021-04-06

Symptoms: I feel dizziness Dried blood and mucous in my noseFatique

Release 7 — day 35, dose 2

2021-04-15

Symptoms: The semi dry blood coming out of my nose. And swelling of ?lymph nodes? Under my chin. Alittle dizzines this mirning

Release 7 — day 42, dose 2

2021-04-22

Symptoms: Bloody nose. Its not real runny but more than before

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
SDDizziness ✓ ✓ ✓
SDEpistaxis ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROEpistaxis ✓ ✓ ✓
SROIncreased viscosity of upper respiratory secretion ✓ ✓ ✓
SROIrritability ✓ ✓ ✓
SROMucosal induration ✓ ✓ ✓
SRONasal mucosal discolouration ✓ ✓ ✓
SRONasal mucosal disorder ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSecretion discharge ✓ ✓ ✓

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

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