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4XD-29312-35500

3 vaccinations 6 coded responses 25 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
210 / MD
Registered
2021-01-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
T2Z-23109-47311 Child or adolescent in my care · Male · 2022-06-20
U4K-31277-58327 Child or adolescent in my care · Male · 2022-07-19

Timeline

  1. 2021-01-08
    Dose 1 — Moderna
  2. 2021-01-09
    Registered in v-safe
  3. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Metallic taste in mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  5. 2021-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dysgeusia — Feeling: Good
    Free text: Metallic taste in mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-15
    Survey response — day 7, dose 1
    MedDRA: Pruritus, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Hives and itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-22
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus, Self-medication, Urticaria — Feeling: Good
    Free text: Hives, itching all over for about a day on day 6Large circle of redness, swelling, and warmth at the injection site (started new on day 7 after vaccine, resolved after 3 days or so)Took Claritin and Benadryl for a few days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-31
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Dose 2 — Moderna
  12. 2021-02-05
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Taste disorder — Feeling: Good · Site: Pain
    Free text: Brief mild dulling of taste sensation
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-26
    Survey response — day 21, dose 2
    MedDRA: Paraesthesia — Feeling: Good
    Free text: New tingling in both feet, but could have been due to something else (maybe reaction to new foot lotion started around same time)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-19
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-08
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-29
    Dose 3 — Moderna
  28. 2022-02-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-10-30
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-08Moderna
22021-02-05Moderna
32021-10-29Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-09

Systemic reaction (other): Metallic taste in mouth

2021-01-14

Systemic reaction (other): Metallic taste in mouth

Release 2 — day 7, dose 1

2021-01-15

Systemic reaction (other): Hives and itching

Release 2 — day 14, dose 1

2021-01-22

Symptoms: Hives, itching all over for about a day on day 6Large circle of redness, swelling, and warmth at the injection site (started new on day 7 after vaccine, resolved after 3 days or so)Took Claritin and Benadryl for a few days

Release 3 — days 1–6 daily, dose 2

2021-02-08

Systemic reaction (other): Brief mild dulling of taste sensation

Release 4 — day 21, dose 2

2021-02-26

Symptoms: New tingling in both feet, but could have been due to something else (maybe reaction to new foot lotion started around same time)

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 swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDParaesthesia ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROTaste disorder ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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