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3YR-26384-66382

2 vaccinations 4 coded responses 20 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
288 / NC
Registered
2021-03-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Registered in v-safe
  2. 2021-03-10
    Dose 1 — Moderna
  3. 2021-03-10
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abnormal dreams — Feeling: Fair · Site: Itching · Headache
    Free text: Insanely weird dreams the first night . . . Forgot to report those
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-07
    Dose 2 — Moderna
  12. 2021-04-07
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tiredness
    Adult check-in
  15. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dermatitis contact, Rubber sensitivity — Feeling: Good · Site: Itching · Headache
    Free text: Two weird things - both skin. I had a bandaid on my finger for a couple of hours and when I removed it, it took off the top layer of skin between my top knuckle and my fingernail, leaving it bloody. Then overnight I wore an Incrediwear leg sleeve that promotes circulation as Im recovering from ski knee injuries. The sleeve has small rubber or silicon tabs at the top of the interior seam to help keep the sleeves in place. Worn them many times with no issues. Woke up this morning to angry painful skin where the rubber/silicone was in contact with my skin and in one spot the skim came off. Noteworthy because neither of these things has ever happened.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Skin fragility — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness
    Free text: Fragile skin. Seems to be improving.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-04-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-04-09
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Contracted COVID 3:29/22
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-12

Systemic reaction (other): Insanely weird dreams the first night . . . Forgot to report those

Release 7 — days 1–6 daily, dose 2

2021-04-10

Systemic reaction (other): Two weird things - both skin. I had a bandaid on my finger for a couple of hours and when I removed it, it took off the top layer of skin between my top knuckle and my fingernail, leaving it bloody. Then overnight I wore an Incrediwear leg sleeve that promotes circulation as Im recovering from ski knee injuries. The sleeve has small rubber or silicon tabs at the top of the interior seam to help keep the sleeves in place. Worn them many times with no issues. Woke up this morning to angry painful skin where the rubber/silicone was in contact with my skin and in one spot the skim came off. Noteworthy because neither of these things has ever happened.

2021-04-12

Systemic reaction (other): Fragile skin. Seems to be improving.

Release 11 — 12 months, dose 2

2022-04-09

Symptoms: Contracted COVID 3:29/22

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
SDCOVID-19 · · ✓
SROAbnormal dreams ✓ ✓ ✓
SRODermatitis contact ✓ ✓ ✓
SRORubber sensitivity ✓ ✓ ✓
SROSkin fragility ✓ ✓ ✓

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