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3MT-15514-90782

2 vaccinations 3 coded responses 18 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
840 / UT
Registered
2020-12-31
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Registered in v-safe
  2. 2020-12-31
    Dose 1 — Moderna
  3. 2020-12-31
    Survey response — day 0, dose 1
    MedDRA: Paraesthesia — Feeling: Good
    Free text: Tingling on lateral side of left hand 5th digit (same arm of injection site).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-12
    Survey response — day 7, dose 1
    MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: Small itchy painful bumps mostly on both hands and also on arms, face, ear, butt, legs and feet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-14
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-01-28
    Dose 2 — Moderna
  9. 2021-01-28
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-01-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea
    Adult check-in
  15. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness, Nausea
    Adult check-in
  17. 2021-02-11
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Nausea, Pruritus, Skin disorder, Skin induration, Skin swelling — Feeling: Fair
    Free text: Painful bumps that can be itchy and also can become swollen and enlarged. Start on 2/2/2021. More appeared in the following days. Still have some. Same painful bumps I got after the 1st vaccine shot. Also still fatigue and nausea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-02-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-06
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna

Free text

Release 1 — day 0, dose 1

2020-12-31

Systemic reaction (other): Tingling on lateral side of left hand 5th digit (same arm of injection site).

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): Small itchy painful bumps mostly on both hands and also on arms, face, ear, butt, legs and feet

Release 4 — day 14, dose 2

2021-02-11

Symptoms: Painful bumps that can be itchy and also can become swollen and enlarged. Start on 2/2/2021. More appeared in the following days. Still have some. Same painful bumps I got after the 1st vaccine shot. Also still fatigue and nausea.

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
SDFatigue ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSkin disorder ✓ ✓ ✓
SDSkin induration ✓ ✓ ✓
SDSkin swelling ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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