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3W5-12378-62921

2 vaccinations 1 coded response 13 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
833 / ID
Registered
2021-05-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-10
    Dose 1 — Moderna
  2. 2021-05-08
    Registered in v-safe
  3. 2021-05-08
    Dose 2 — Moderna
  4. 2021-05-08
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  6. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye irritation, Peripheral swelling — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Swollen hands and feet, irritated eyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Muscle or body aches, Nausea
    Adult check-in
  9. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-05-15
    Health check-in — day 7, dose 2
    Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-06-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-10Moderna
22021-05-08Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-12

Systemic reaction (other): Swollen hands and feet, irritated eyes

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
SROEye irritation ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓

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