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3TK-31014-05739

3 vaccinations 3 coded responses 19 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
147 / NY
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Dose 2 — Moderna
  4. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: None of them actually terrible but they do it does hurt and I do feel ooky
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fever, tingles all over...it all went awaylasted from 3:30pm April 9,2020 until by 1:30 pm April 10, 2030 today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  8. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  9. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  10. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body aches
    Adult check-in
  11. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  12. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-08
    Survey response — day 28, dose 2
    MedDRA: Glossodynia, Hypoaesthesia, Malaise, Rash, Rash pruritic — Feeling: Fair
    Free text: The right side of my tongue was extremely painful for over a week and I have had an awful rash on the right side of my face That is terribly itchy and thick feeling and bumpy and a little numbish and illfeeling but not pimplesa rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-09
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-10-23
    Dose 3 — Moderna
    Co-administered: Flu
  20. 2021-11-01
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-06
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-11-15
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  23. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna
32021-10-23Moderna Flu

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): None of them actually terrible but they do it does hurt and I do feel ooky

2021-04-10

Systemic reaction (other): Fever, tingles all over...it all went awaylasted from 3:30pm April 9,2020 until by 1:30 pm April 10, 2030 today

Release 8 — day 28, dose 2

2021-05-08

Symptoms: The right side of my tongue was extremely painful for over a week and I have had an awful rash on the right side of my face That is terribly itchy and thick feeling and bumpy and a little numbish and illfeeling but not pimplesa rash.

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
SDGlossodynia ✓ ✓ ✓
SDHypoaesthesia ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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