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4L7-29638-83793

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
897 / NV
Registered
2021-01-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-31
    Dose 1 — Moderna
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-12
    Survey response — day 7, dose 1
    MedDRA: Erythema, Pruritus, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: The redness swelling and itching occurred exactly 1-week and close to exact time of injection on January 7,2021. I recently picked up a new phone and had issues registering .
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-01-22
    Survey response — day 21, dose 1
    MedDRA: Diarrhoea, Rash — Feeling: Good
    Free text: Rash: right side abdomen, hepatic down just superior to large intestine approximately 6 inches wide. Appeared about 4-5 days ago. Approximately 2-3 days later left side abdomen area pancreas down to same area, not as wide. Both fading, diarrhea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-28
    Dose 2 — Moderna
  7. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · None
    Adult check-in
  8. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-02-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-02-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Survey response — day 42, dose 2
    MedDRA: Nasopharyngitis, Pre-existing disease, Pyrexia, Rhinorrhoea, Throat irritation — Feeling: Fair
    Free text: Allergy or cold symptoms runny nose hot throat low fever last night but better today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-02-01
    Survey response — 12 months, dose 2
    MedDRA: Brain fog, Dizziness, Headache, Nausea, Pain, Pyrexia, Vomiting — Feeling: Good · Be unable to work or attend school
    Free text: Week before last head, body aches, fever, last week severe dizziness when laying down lasted few seconds post laying down, after two days of that, vomiting, nausea and brain fog for a couple more days. Unable find rapid test too I'll drive to site
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-31Moderna
22021-01-28Moderna

Free text

Release 1 — day 7, dose 1

2021-01-12

Systemic reaction (other): The redness swelling and itching occurred exactly 1-week and close to exact time of injection on January 7,2021. I recently picked up a new phone and had issues registering .

Release 2 — day 21, dose 1

2021-01-22

Symptoms: Rash: right side abdomen, hepatic down just superior to large intestine approximately 6 inches wide. Appeared about 4-5 days ago. Approximately 2-3 days later left side abdomen area pancreas down to same area, not as wide. Both fading, diarrhea.

Release 5 — day 42, dose 2

2021-03-12

Symptoms: Allergy or cold symptoms runny nose hot throat low fever last night but better today

Release 11 — 12 months, dose 2

2022-02-01

Symptoms: Week before last head, body aches, fever, last week severe dizziness when laying down lasted few seconds post laying down, after two days of that, vomiting, nausea and brain fog for a couple more days. Unable find rapid test too I'll drive to site cut off by CDC

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
SDBrain fog · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness · · ✓
SDHeadache · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea · · ✓
SDPain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDThroat irritation ✓ ✓ ✓
SDVomiting · · ✓
SROErythema ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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