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3RF-16955-01369

5 vaccinations 5 coded responses 20 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
018 / MA
Registered
2021-01-03
Relationship
Self
Race
N/A
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-03
    Registered in v-safe
  3. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Chills, Headache
    Adult check-in
  4. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site warmth — Feeling: Good · Site: Pain, Swelling · Chills, Headache
    Free text: Warmth (mild) at vaccine site; had that yesterday too
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site swelling, Injection site warmth — Feeling: Good · Site: Pain, Swelling · Headache
    Free text: Today the injection site is just slightly warmer than the rest of my arm. Swelling is barely noticeable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-30
    Dose 2 — Moderna
  13. 2021-01-30
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea
    Free text: I took a nap. Also, nausea was just for a few seconds, and mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Eye pain, Headache, Pain in extremity — Feeling: Good · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness
    Free text: Yesterday morning had several seconds of a pain in left head frontal or retro orbital area. Resolved without recurrence. Yesterday later afternoon and evening had headache mostly frontal, noticeable but not bad at all, for several hours. T max yesterday was 101. Arm soreness was much much better in the evening compared with the morning and temp had dropped also to 99s.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Not hungry
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-11-03
    Dose 3 — Moderna
  21. 2022-04-12
    Dose 4 — Moderna
    Co-administered: Pneumonia
  22. 2022-09-29
    Dose 5 — Moderna
  23. 2022-10-11
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  24. 2022-10-11
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  25. 2022-10-20
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  26. 2022-10-29
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna
32021-11-03Moderna No
42022-04-12Moderna Pneumonia
52022-09-29Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-04

Systemic reaction (other): Warmth (mild) at vaccine site; had that yesterday too

2021-01-05

Systemic reaction (other): Today the injection site is just slightly warmer than the rest of my arm. Swelling is barely noticeable.

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): I took a nap. Also, nausea was just for a few seconds, and mild

2021-02-01

Systemic reaction (other): Yesterday morning had several seconds of a pain in left head frontal or retro orbital area. Resolved without recurrence. Yesterday later afternoon and evening had headache mostly frontal, noticeable but not bad at all, for several hours. T max yesterday was 101. Arm soreness was much much better in the evening compared with the morning and temp had dropped also to 99s.

2021-02-02

Systemic reaction (other): Not hungry

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
SROBody temperature increased ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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

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