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49T-18669-77434

4 vaccinations 4 coded responses 24 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
229 / VA
Registered
2021-01-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-01-20
    Registered in v-safe
  3. 2021-01-21
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-02-10
    Dose 2 — Moderna
  8. 2021-02-10
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-02-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Balance disorder, Chills, Dyspepsia, Epigastric discomfort, Headache, Nausea, Tremor — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: My symptoms began last evening nine hours after my injection. I experienced them at the moderate level: headache, chills, hand tremors, balance issue, nausea, heartburn, epigastric discomfort. Today I am better and have only the above checked off symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Slight tenderness at the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-08-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-22
    Dose 3 — Moderna
  17. 2021-10-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Headache, Injection site erythema, Injection site pain, Myalgia — Feeling: Good
    Free text: I had a sore arm and redness at the injection site the day after my injection, also muscle aches, fatigue and a mild headache. Symptoms lasted a day, except for the soreness and redness at the injection site which lasted a few more days.
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site bruising, Injection site pain — Feeling: Good
    Free text: I have a bruise and tenderness withe palpation at my injection site
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-10-29
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-11-05
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-14
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-11-21
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-12-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  26. 2022-04-04
    Dose 4 — Moderna
    Co-administered: Shingles
  27. 2022-04-18
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-04-25
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-05-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-10Moderna
32021-10-22Moderna No
42022-04-04Moderna Shingles

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-11

Systemic reaction (other): My symptoms began last evening nine hours after my injection. I experienced them at the moderate level: headache, chills, hand tremors, balance issue, nausea, heartburn, epigastric discomfort. Today I am better and have only the above checked off symptoms.

2021-02-13

Systemic reaction (other): Slight tenderness at the injection site

Release 10 — days 1–6 daily, dose 3

2021-10-26

Systemic reaction (other): I had a sore arm and redness at the injection site the day after my injection, also muscle aches, fatigue and a mild headache. Symptoms lasted a day, except for the soreness and redness at the injection site which lasted a few more days.

2021-10-27

Systemic reaction (other): I have a bruise and tenderness withe palpation at my injection site

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
SROBalance disorder ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SROEpigastric discomfort ✓ ✓ ✓
SROFatigue · · ✓
SROHeadache ✓ ✓ ✓
SROInjection site bruising · · ✓
SROInjection site erythema · · ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia · · ✓
SRONausea ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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

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