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4TB-32986-13163

4 vaccinations 5 coded responses 49 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
452 / OH
Registered
2021-02-19
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino
Registered dependents
CLX-17844-38182 Child or adolescent in my care · Male · 2021-11-14
CAA-27863-15008 Child or adolescent in my care · Male · 2021-11-14

Timeline

  1. 2021-02-19
    Registered in v-safe
  2. 2021-02-19
    Dose 1 — Moderna
  3. 2021-02-19
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  5. 2021-02-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling cold, Night sweats — Feeling: Good · Chills
    Free text: A little colder than normal last night with night sweats. Hard to determine if it was from the vaccine or my hormones. Did not need to take medicine and had subsided by the morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-19
    Dose 2 — Moderna
  14. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches
    Free text: Itching in lymph node area and underarm on same side as vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: Itchy in lymph node area and underarm on side of vaccination. Milder today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy, Pruritus — Feeling: Good
    Free text: Lymph nodes and underarm still a little swollen, sore and itchy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-26
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-02
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-09
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-16
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-23
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-29
    Dose 3 — Moderna
  29. 2021-10-29
    Health check-in — day 0, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches
    Adult check-in
  31. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pruritus — Feeling: Good · Site: Pain
    Free text: Little itchy in underarms and lymph node area on side of injection site
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-01-30
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-04-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-10-06
    Dose 4 — Moderna
  45. 2022-10-10
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-10-11
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-10-12
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-10-16
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  49. 2022-10-20
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-10-27
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-11-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-11-10
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  53. 2023-01-05
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  54. 2023-04-06
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-19Moderna
22021-03-19Moderna
32021-10-29Moderna No
42022-10-06Moderna No

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-21

Systemic reaction (other): A little colder than normal last night with night sweats. Hard to determine if it was from the vaccine or my hormones. Did not need to take medicine and had subsided by the morning.

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Itching in lymph node area and underarm on same side as vaccination.

2021-03-21

Systemic reaction (other): Itchy in lymph node area and underarm on side of vaccination. Milder today.

2021-03-22

Systemic reaction (other): Lymph nodes and underarm still a little swollen, sore and itchy.

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): Little itchy in underarms and lymph node area on side 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
SROFeeling cold ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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

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