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4N5-53842-61301

3 vaccinations 6 coded responses 14 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
112 / NY
Registered
2021-05-17
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino
Registered dependents
P3G-23949-72542 Child or adolescent in my care · Male · 2022-06-29
8YT-11415-98748 Child or adolescent in my care · Male · 2022-06-29

Timeline

  1. 2021-04-18
    Dose 1 — Moderna
  2. 2021-05-16
    Dose 2 — Moderna
  3. 2021-05-17
    Registered in v-safe
  4. 2021-05-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site nodule — Feeling: Good
    Free text: On injection site first dose of vaccination there is a slight skin protrusion that gets red when it is under the heat or when it is pressed.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema — Feeling: Good · Site: Redness
    Free text: The mild redness on injection site of the first dose vaccination is persistently there with protrusion. Nothing observed for the 2nd dose injection site so far.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site swelling — Feeling: Good · Site: Redness
    Free text: Still same spot where redness is observed with skin protrusion from first dose injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site reaction — Feeling: Good · Site: Redness
    Free text: Same as yesterday, first dose injection site has slight redness and skin protrusion. No other side effects from 2nd dose injection site yet.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema — Feeling: Good · Site: Redness
    Free text: Redness only on first shot injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-23
    Survey response — day 7, dose 2
    MedDRA: Heavy menstrual bleeding — Feeling: Good
    Free text: Extended menstrual period after 2nd dose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-05-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-06-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-11-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2022-01-21
    Dose 3 — Moderna
  18. 2022-07-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-18Moderna
22021-05-16Moderna
32022-01-21Moderna No

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-17

Systemic reaction (other): On injection site first dose of vaccination there is a slight skin protrusion that gets red when it is under the heat or when it is pressed.

2021-05-18

Systemic reaction (other): The mild redness on injection site of the first dose vaccination is persistently there with protrusion. Nothing observed for the 2nd dose injection site so far.

2021-05-19

Systemic reaction (other): Still same spot where redness is observed with skin protrusion from first dose injection site.

2021-05-20

Systemic reaction (other): Same as yesterday, first dose injection site has slight redness and skin protrusion. No other side effects from 2nd dose injection site yet.

2021-05-21

Systemic reaction (other): Redness only on first shot injection site.

Release 8 — day 7, dose 2

2021-05-23

Systemic reaction (other): Extended menstrual period after 2nd dose

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
SROHeavy menstrual bleeding ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site nodule ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓

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