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4UH-56101-33435

2 vaccinations 4 coded responses 7 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
857 / AZ
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-03
    Dose 1 — Moderna
  2. 2021-02-15
    Registered in v-safe
  3. 2021-02-15
    Survey response — day 7, dose 1
    MedDRA: Erythema, Pruritus, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: Two days after injection swelling redness, itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-24
    Survey response — day 21, dose 1
    MedDRA: Dysphonia, Fatigue, Malaise, Medical counselling, Oedema peripheral, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue, sinus, blood pressure, bladder, hoarseness. 1st shot arm swelled for 3 days. Got over Covid mid January got shot February 3 rd. Felt crappy since. Worried about overkill on antibodies with 2 Nd shot March 7 th. Talking to Dr. residual affec
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-03
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-07
    Dose 2 — Moderna
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Fatigue since getting Covid and two shots. Dont feel normal yet
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Blood pressure increased, COVID-19 — Feeling: Good
    Free text: Blood pressure has been up since Covid
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-03Moderna
22021-03-07Moderna

Free text

Release 4 — day 7, dose 1

2021-02-15

Systemic reaction (other): Two days after injection swelling redness, itching

Release 4 — day 21, dose 1

2021-02-24

Symptoms: Fatigue, sinus, blood pressure, bladder, hoarseness. 1st shot arm swelled for 3 days. Got over Covid mid January got shot February 3 rd. Felt crappy since. Worried about overkill on antibodies with 2 Nd shot March 7 th. Talking to Dr. residual affec cut off by CDC

Release 5 — days 1–6 daily, dose 2

2021-03-11

Systemic reaction (other): Fatigue since getting Covid and two shots. Dont feel normal yet

2021-03-13

Systemic reaction (other): Blood pressure has been up since Covid

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
SDDysphonia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDSinus disorder ✓ ✓ ✓
SROBlood pressure increased ✓ ✓ ✓
SROCOVID-19 ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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