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464-16701-32594

2 vaccinations 3 coded responses 22 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
359 / AL
Registered
2021-02-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-09
    Registered in v-safe
  2. 2021-02-09
    Dose 1 — Moderna
  3. 2021-02-09
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-18
    Survey response — day 7, dose 1
    MedDRA: Headache, Injection site discolouration, Injection site pruritus, Injection site swelling, Livedo reticularis — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness
    Free text: Inside of arms looking mottled today and last night. Woke w slight headache and itchy injection site. Its pink the size of an apple. Took pictures on phone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-23
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Injection site erythema, Vision blurred — Feeling: Fair
    Free text: Blurry vision. Fatigue is back. Injection site remains faintly pink the size of an orange.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-09
    Dose 2 — Moderna
  14. 2021-03-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  15. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Injection site rash, Injection site reaction, Livedo reticularis, Rash erythematous, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Not sure if I should call it rash or not. Its not itchy but it looks like red mottled skin which I experienced following first shot. But this occurred earlier than first and accompanied large red, itchy rash at injection site at that time. Mottling this time is close to injection but not encircling it as with first injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-16
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna

Free text

Release 4 — day 7, dose 1

2021-02-18

Systemic reaction (other): Inside of arms looking mottled today and last night. Woke w slight headache and itchy injection site. Its pink the size of an apple. Took pictures on phone.

Release 4 — day 14, dose 1

2021-02-23

Symptoms: Blurry vision. Fatigue is back. Injection site remains faintly pink the size of an orange.

Release 5 — days 1–6 daily, dose 2

2021-03-12

Systemic reaction (other): Not sure if I should call it rash or not. Its not itchy but it looks like red mottled skin which I experienced following first shot. But this occurred earlier than first and accompanied large red, itchy rash at injection site at that time. Mottling this time is close to injection but not encircling it as with first injection.

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
SDFatigue ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDVision blurred ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site discolouration ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROLivedo reticularis ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓

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