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4UG-49548-94115

3 vaccinations 2 coded responses 33 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
604 / IL
Registered
2021-01-15
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Registered in v-safe
  2. 2021-01-15
    Dose 1 — Moderna
  3. 2021-01-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Chills, Headache
    Adult check-in
  6. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  8. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-12
    Dose 2 — Moderna
  12. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Fair · Site: Swelling · Headache
    Free text: Sweating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-26
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-12-14
    Dose 3 — Moderna
  26. 2021-12-18
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oedema peripheral — Feeling: Fair
    Free text: Swollen armpit
    MedDRA releases: 2024-11 · check-in free text available
  27. 2021-12-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  28. 2021-12-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-12-21
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-12-29
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-01-06
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2022-01-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2022-01-18
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-25
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-03-15
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-06-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-12-14
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna
32021-12-14Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): Sweating

Release 10 — days 1–6 daily, dose 3

2021-12-18

Systemic reaction (other): Swollen armpit

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
SROHyperhidrosis ✓ ✓ ✓
SROOedema peripheral · · ✓

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

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