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3JM-92678-78559

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
21-25
ZIP prefix
554 / MN
Registered
2021-01-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Registered in v-safe
  2. 2021-01-26
    Dose 1 — Moderna
  3. 2021-01-26
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches
    Adult check-in
  4. 2021-01-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Brain fog
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness
    Adult check-in
  6. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  7. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-02
    Survey response — day 7, dose 1
    MedDRA: Axillary pain, Injection site erythema, Injection site pruritus, Injection site rash, Injection site reaction, Injection site swelling, Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Redness/rash around injection site subsided for a few days and has now returned--very itchy at times, redness, visible swelling. Also slightly swollen/painful lymph node in armpit of injection arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-11
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-23
    Dose 2 — Moderna
  14. 2021-02-23
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Decreased appetite, Headache, Injection site erythema, Injection site pain, Injection site swelling, Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Forgot to report yesterday (got second dose day before yesterday). Yesterday had headache, joint pain, loss of appetite, possibly fever as well as mild pain/redness/swelling at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-26
    Survey response — day 28, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Headaches (possibly tmj related, but have never had them this frequently before)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-02-23
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-23Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-27

Systemic reaction (other): Brain fog

Release 3 — day 7, dose 1

2021-02-02

Systemic reaction (other): Redness/rash around injection site subsided for a few days and has now returned--very itchy at times, redness, visible swelling. Also slightly swollen/painful lymph node in armpit of injection arm.

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Forgot to report yesterday (got second dose day before yesterday). Yesterday had headache, joint pain, loss of appetite, possibly fever as well as mild pain/redness/swelling at injection site

Release 6 — day 28, dose 2

2021-03-26

Symptoms: Headaches (possibly tmj related, but have never had them this frequently 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
SDHeadache ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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