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3MN-23385-39735

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
450 / OH
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  4. 2021-02-11
    Survey response — day 14, dose 1
    MedDRA: Cutaneous symptom, Erythema, Feeling hot, Injection site reaction, Joint warmth, Skin swelling, Urticaria — Feeling: Good
    Free text: Histamine-release at site on arm. Red and warm area on arm. Raised skin.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-25
    Dose 2 — Moderna
  7. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Fatigue or tiredness
    Adult check-in
  8. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Mechanical urticaria, Nightmare — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Dermographia; very vocal nightmares
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nightmare — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness, Nausea
    Free text: Bad nightmares night before last
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling, Itching · Headache
    Adult check-in
  12. 2021-03-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  13. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain — Feeling: Fair · Site: Itching · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: The abdominal pain was cramping, like when you need to have a bowel movement; however, I had voided this morning and had very little to eat since then.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Fair · Chills, Headache
    Adult check-in
  15. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Headache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Increased headaches with seemingly no reason for them.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-25
    Survey response — day 28, dose 2
    MedDRA: Myalgia — Feeling: Fair · Be unable to work
    Free text: More aches in my muscles on the right side of my body.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-10
    Survey response — day 42, dose 2
    MedDRA: Abdominal pain upper, Chills, Cough, Decreased appetite, Diarrhoea, Hyperhidrosis, Hypersensitivity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I think I have a flu bug. I have diarrhea and stomach ache. More coughing that is probably due to Spring allergies. Less appetite last evening. Didnt seem to have a fever but some chills and sweating.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2022-02-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna

Free text

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Histamine-release at site on arm. Red and warm area on arm. Raised skin.

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Dermographia; very vocal nightmares

2021-02-28

Systemic reaction (other): Bad nightmares night before last

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): The abdominal pain was cramping, like when you need to have a bowel movement; however, I had voided this morning and had very little to eat since then.

Release 5 — day 14, dose 2

2021-03-12

Symptoms: Increased headaches with seemingly no reason for them.

Release 6 — day 28, dose 2

2021-03-25

Symptoms: More aches in my muscles on the right side of my body.

Release 7 — day 42, dose 2

2021-04-10

Symptoms: I think I have a flu bug. I have diarrhea and stomach ache. More coughing that is probably due to Spring allergies. Less appetite last evening. Didnt seem to have a fever but some chills and sweating.

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
SDAbdominal pain upper ✓ ✓ ✓
SDChills ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCutaneous symptom ○ ✓ ○
SDDecreased appetite ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDErythema ✓ ✓ ✓
SDFeeling hot ✓ · ✓
SDHeadache ✓ ✓ ✓
SDHyperhidrosis ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SDInjection site reaction ✓ · ✓
SDJoint warmth ○ ✓ ○
SDMyalgia ✓ ✓ ✓
SDSkin swelling ✓ · ✓
SDUrticaria ○ ✓ ○
SROAbdominal pain ✓ ✓ ✓
SROMechanical urticaria ✓ ✓ ✓
SRONightmare ✓ ✓ ✓

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