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46N-28004-31700

1 vaccination 7 coded responses 14 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
891 / NV
Registered
2021-04-08
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-06
    Dose 1 — Moderna
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site rash, Injection site swelling — Feeling: Good
    Free text: Three tiny bump rash near the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-13
    Survey response — day 7, dose 1
    MedDRA: Rash — Feeling: Fair
    Free text: Small bump rash faded away in 12 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-20
    Survey response — day 14, dose 1
    MedDRA: Dizziness, Fatigue, Injection site erythema, Injection site pruritus, Rash erythematous — Feeling: Poor
    Free text: Dizziness and fatigue last week. At the injection site, a red rash appeared 10 days after the shot, the rash size is now 8×12cm. I feel the heat on that site but not much itchy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-27
    Health check-in — day 21, dose 1
    Feeling: Poor
    Adult check-in
  11. 2021-05-04
    Survey response — day 28, dose 1
    MedDRA: Paraesthesia — Feeling: Poor
    Free text: Tingling fingers
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-11
    Survey response — day 35, dose 1
    MedDRA: Pain in extremity, Paraesthesia — Feeling: Poor
    Free text: Tingling in left hand and fingers, but not worsening. Dull pain in left arm, but not severe.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-18
    Health check-in — day 42, dose 1
    Feeling: Poor
    Adult check-in
  14. 2021-07-06
    Health check-in — 3 months, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-10-05
    Survey response — 6 months, dose 1
    MedDRA: Paraesthesia — Feeling: Fair
    Free text: Left arm tingling, from elbow to fingers.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-04-06
    Survey response — 12 months, dose 1
    MedDRA: Dizziness, Muscular weakness, Vertigo — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sudden right leg muscle weakness Vertigo/dizziness
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-06Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-10

Systemic reaction (other): Three tiny bump rash near the injection site

Release 7 — day 7, dose 1

2021-04-13

Systemic reaction (other): Small bump rash faded away in 12 hours

Release 7 — day 14, dose 1

2021-04-20

Symptoms: Dizziness and fatigue last week. At the injection site, a red rash appeared 10 days after the shot, the rash size is now 8×12cm. I feel the heat on that site but not much itchy.

Release 8 — day 28, dose 1

2021-05-04

Symptoms: Tingling fingers

Release 8 — day 35, dose 1

2021-05-11

Symptoms: Tingling in left hand and fingers, but not worsening. Dull pain in left arm, but not severe.

Release 10 — 6 months, dose 1

2021-10-05

Symptoms: Left arm tingling, from elbow to fingers.

Release 11 — 12 months, dose 1

2022-04-06

Symptoms: Sudden right leg muscle weakness Vertigo/dizziness

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
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDMuscular weakness · · ✓
SDPain in extremity ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDVertigo · · ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRORash ✓ ✓ ✓

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