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3G4-37862-64568

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
906 / CA
Registered
2021-03-16
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-15
    Dose 1 — Moderna
  2. 2021-03-16
    Registered in v-safe
  3. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Immediate post-injection reaction, Palatal swelling — Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Mild swelling in the roof of my mouth. More significant 35 minutes after injection. Very mild this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-03-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-22
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-03-29
    Survey response — day 14, dose 1
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Increased itching at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-12
    Dose 2 — Moderna
  12. 2021-04-12
    Survey response — day 0, dose 2
    MedDRA: Chest discomfort, Palatal swelling — Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Swelling on the roof of my mouth (mild), mild chest tightness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: I should note that my regular body temperature before the shot was 96.2°F to 96.6°, so yesterday my 101° fever was high for me. Today its better at 99°F
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: My base body temperature is 96.2° to 96.6°F, so a temperature of 98.9° is a fever for me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event, Unevaluable event — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: My normal body temp is mid 96°
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  19. 2021-04-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-15Moderna
22021-04-12Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-16

Systemic reaction (other): Mild swelling in the roof of my mouth. More significant 35 minutes after injection. Very mild this morning.

Release 6 — day 14, dose 1

2021-03-29

Symptoms: Increased itching at injection site.

Release 7 — day 0, dose 2

2021-04-12

Systemic reaction (other): Swelling on the roof of my mouth (mild), mild chest tightness

Release 7 — days 1–6 daily, dose 2

2021-04-14

Systemic reaction (other): I should note that my regular body temperature before the shot was 96.2°F to 96.6°, so yesterday my 101° fever was high for me. Today its better at 99°F

2021-04-15

Systemic reaction (other): My base body temperature is 96.2° to 96.6°F, so a temperature of 98.9° is a fever for me

2021-04-16

Systemic reaction (other): My normal body temp is mid 96°

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
SDInjection site pruritus ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SRONo adverse event ○ ✓ ○
SROPalatal swelling ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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