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3Y4-94329-55524

4 vaccinations 13 coded responses 49 check-ins 13 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
550 / MN
Registered
2021-03-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Registered in v-safe
  2. 2021-03-06
    Dose 1 — Moderna
  3. 2021-03-06
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  7. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Chills, Headache
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  9. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus — Feeling: Good
    Free text: I di have itching around my eyelids. Not sure if it's connected or not.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-13
    Survey response — day 7, dose 1
    MedDRA: Musculoskeletal stiffness — Feeling: Good
    Free text: Today I have a stiff neck.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Musculoskeletal stiffness, Office visit — Feeling: Fair
    Free text: Stiff neck after visiting the chiropractor 2x lst week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-03
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-05
    Dose 2 — Moderna
  15. 2021-04-05
    Health check-in — day 0, dose 2
    Feeling: Fair · None
    Adult check-in
  16. 2021-04-06
    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, Diarrhea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  18. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness
    Adult check-in
  19. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Fair
    Free text: Itching on face, head, body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Joint pains, Fatigue or tiredness
    Adult check-in
  21. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-04-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-04-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-26
    Survey response — day 21, dose 2
    MedDRA: Dyspnoea, Feeling hot, Pre-existing disease — Feeling: Fair
    Free text: I have shortness of breath, it's not new, but never seems to go away. I get really warm and it's hard to breath.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-05-04
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-10
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  27. 2021-05-17
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-07-05
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-10-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2021-11-04
    Dose 3 — Moderna
  31. 2021-11-04
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pruritus — Feeling: Fair · Site: Itching · Chills, Joint pains
    Free text: Itching no rash
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Musculoskeletal chest pain, Pruritus, Pulmonary pain — Feeling: Fair · Chills, Headache, Joint pains · Be unable to do your normal daily activities
    Free text: Pain in the rib/lung area. Itching around waist area.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Itching · None
    Adult check-in
  35. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough — Feeling: Fair · Fatigue or tiredness, Diarrhea
    Free text: On going cough.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-18
    Survey response — day 14, dose 3
    MedDRA: Cough — Feeling: Fair
    Free text: I have a cough which never seems to go away.
    MedDRA releases: 2024-11 · check-in free text available
  38. 2021-11-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-02
    Survey response — day 28, dose 3
    MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Terrific headache.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-09
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-16
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-03
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-10-21
    Dose 4 — Moderna
  44. 2022-10-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache
    Adult check-in
  45. 2022-10-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  46. 2022-10-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Headache
    Adult check-in
  47. 2022-10-28
    Survey response — day 7, dose 4
    MedDRA: No adverse event — Feeling: Fair · Chills, Headache
    Free text: No
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-11-04
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-11-11
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-11-18
    Survey response — day 28, dose 4
    MedDRA: No adverse event — Feeling: Good
    Free text:
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-11-25
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-12-02
    Health check-in — day 42, dose 4
    Feeling: Fair
    Adult check-in
  53. 2023-01-20
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-04-22
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-05Moderna
32021-11-04Moderna No
42022-10-21Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-10

Systemic reaction (other): No

2021-03-12

Systemic reaction (other): I di have itching around my eyelids. Not sure if it's connected or not.

Release 5 — day 7, dose 1

2021-03-13

Systemic reaction (other): Today I have a stiff neck.

Release 6 — day 14, dose 1

2021-03-20

Symptoms: Stiff neck after visiting the chiropractor 2x lst week.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Itching on face, head, body

Release 8 — day 21, dose 2

2021-04-26

Symptoms: I have shortness of breath, it's not new, but never seems to go away. I get really warm and it's hard to breath.

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Itching no rash

2021-11-06

Systemic reaction (other): Pain in the rib/lung area. Itching around waist area.

2021-11-09

Systemic reaction (other): On going cough.

Release 10 — day 14, dose 3

2021-11-18

Symptoms: I have a cough which never seems to go away.

Release 10 — day 28, dose 3

2021-12-02

Symptoms: Terrific headache.

Release 12 — day 7, dose 4

2022-10-28

Systemic reaction (other): No

Release 12 — day 28, dose 4

2022-11-18

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
SDCough · · ✓
SDDyspnoea ✓ ✓ ✓
SDFeeling hot ✓ ✓ ✓
SDHeadache · · ✓
SDMusculoskeletal stiffness ✓ ✓ ✓
SDNo adverse event · · ✓
SDOffice visit ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROCough · · ✓
SROEye pruritus ✓ ✓ ✓
SROMusculoskeletal chest pain · · ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROPulmonary pain · · ✓

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

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