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3F3-18034-41939

2 vaccinations 3 coded responses 19 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
752 / TX
Registered
2021-03-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-09
    Registered in v-safe
  2. 2021-03-09
    Dose 1 — Moderna
  3. 2021-03-09
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-23
    Survey response — day 14, dose 1
    MedDRA: Injection site rash, Pain in extremity, Pruritus, Skin warm — Feeling: Good
    Free text: The 8th day after my shot my arm became very painful with a rash at the injection site. It was hot to the touch. Rash is still there today but smaller and has now moved a few inches down my arm. Pain barely noticeable, but itches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-30
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-05
    Dose 2 — Moderna
  14. 2021-04-13
    Survey response — day 7, dose 2
    MedDRA: Arthralgia, Chills, Nausea, Pyrexia, Skin burning sensation — Feeling: Good
    Free text: 4/5/21-4/6/21 ran between 101 and 102 fever, chills, nausea, joint pain, skin felt like it was on fire. All gone by 4/7/21.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-19
    Survey response — day 14, dose 2
    MedDRA: Dry mouth, Fatigue, Injection site discomfort, Injection site rash — Feeling: Good
    Free text: Fatigue. Tired all the time since 2nd vaccine. And last night developed another rash at the injection site but not painful. Extreme dry mouth since 2nd injection but starting to get better now.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-04-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-09Moderna
22021-04-05Moderna

Free text

Release 6 — day 14, dose 1

2021-03-23

Symptoms: The 8th day after my shot my arm became very painful with a rash at the injection site. It was hot to the touch. Rash is still there today but smaller and has now moved a few inches down my arm. Pain barely noticeable, but itches.

Release 7 — day 7, dose 2

2021-04-13

Systemic reaction (other): 4/5/21-4/6/21 ran between 101 and 102 fever, chills, nausea, joint pain, skin felt like it was on fire. All gone by 4/7/21.

Release 7 — day 14, dose 2

2021-04-19

Symptoms: Fatigue. Tired all the time since 2nd vaccine. And last night developed another rash at the injection site but not painful. Extreme dry mouth since 2nd injection but starting to get better now.

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
SDDry mouth ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site discomfort ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSkin burning sensation ✓ ✓ ✓

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