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4WJ-31103-87731

2 vaccinations 1 coded response 17 check-ins 1 free-text entry 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
970 / OR
Registered
2021-08-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-12
    Dose 1 — Moderna
  2. 2021-08-16
    Registered in v-safe
  3. 2021-08-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-08-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches
    Adult check-in
  5. 2021-08-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-08-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-26
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good
    Free text: Swelling, redness, heat, and itchiness at vaccination site for 3-4 days
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-09-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-09-09
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-09-17
    Dose 2 — Moderna
  11. 2021-09-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-09-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-09-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-09-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Swelling, Itching · Headache, Nausea · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-09-24
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Joint pains
    Adult check-in
  16. 2021-10-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-12-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-03-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-08-12Moderna No
22021-09-17Moderna No

Free text

Release 9 — day 14, dose 1

2021-08-26

Symptoms: Swelling, redness, heat, and itchiness at vaccination site for 3-4 days

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
SDInjection site erythema ✓ · ✓
SDInjection site pruritus ✓ · ✓
SDInjection site swelling ✓ · ✓
SDInjection site warmth ✓ · ✓

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