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4B8-14184-39460

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
860 / AZ
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Moderna
  3. 2021-01-21
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Itching · Headache
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-01-28
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-18
    Dose 2 — Moderna
  9. 2021-02-18
    Health check-in — day 0, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia, Paraesthesia oral — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Tingling in hands, feet and lips
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  12. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Adult check-in
  13. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-27
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-20
    Survey response — 3 months, dose 2
    MedDRA: Urticaria — Feeling: Good
    Free text: Frequent hives (nearly every day for the past 3 weeks) no known cause.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: Good
    Free text: I had a common cold a couple weeks ago (tested negative for COVID) and it resolved within a few day.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  24. 2022-02-18
    Survey response — 12 months, dose 2
    MedDRA: COVID-19, Cough, Fatigue, Headache, Heart rate increased, Oxygen saturation decreased, Respiratory tract congestion — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Got COVID for about 10 days, high heart rate, low O2 levels, headache, fatigue congestion and a persistent cough. Tested negative about 2 weeks ago, cough/fatigue remain and heart rate occasionally spikes.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-18Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Dizzy

Release 4 — days 1–6 daily, dose 2

2021-02-19

Systemic reaction (other): Tingling in hands, feet and lips

Release 8 — 3 months, dose 2

2021-05-20

Symptoms: Frequent hives (nearly every day for the past 3 weeks) no known cause.

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: I had a common cold a couple weeks ago (tested negative for COVID) and it resolved within a few day.

Release 11 — 12 months, dose 2

2022-02-18

Symptoms: Got COVID for about 10 days, high heart rate, low O2 levels, headache, fatigue congestion and a persistent cough. Tested negative about 2 weeks ago, cough/fatigue remain and heart rate occasionally spikes.

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 · · ✓
SDCOVID-19 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDHeart rate increased · · ✓
SDNasopharyngitis ✓ · ✓
SDOxygen saturation decreased · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDUrticaria ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROParaesthesia oral ✓ ✓ ✓

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