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4GJ-19082-59553

2 vaccinations 3 coded responses 16 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
190 / PA
Registered
2021-08-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-07-30
    Dose 1 — Moderna
  2. 2021-08-02
    Registered in v-safe
  3. 2021-08-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Good
    Free text: Lightheadedness
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  4. 2021-08-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-08-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-08-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-08-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-09-01
    Dose 2 — Moderna
  10. 2021-09-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-09-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site hypoaesthesia — Feeling: Good · Fatigue or tiredness
    Free text: Numbness in arm of injection site
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  12. 2021-09-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Paraesthesia — Feeling: Good
    Free text: Tingling in arm of injection site
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2021-09-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-09-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-09-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-09-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-12-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-03-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-07-30Moderna No
22021-09-01Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-02

Systemic reaction (other): Lightheadedness

Release 9 — days 1–6 daily, dose 2

2021-09-04

Systemic reaction (other): Numbness in arm of injection site

2021-09-05

Systemic reaction (other): Tingling in arm of 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
SRODizziness ✓ · ✓
SROInjection site hypoaesthesia ✓ · ✓
SROParaesthesia ✓ · ✓

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