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4XK-15058-57663

1 vaccination 4 coded responses 14 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
307 / GA
Registered
2021-01-15
Relationship
Self
Race
White
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 · None
    Adult check-in
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  6. 2021-01-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain — Feeling: Good · Site: Pain, Redness, Swelling · Abdominal pain
    Free text: Abdominal cramps yesterday & today. Just noticed that
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  8. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-22
    Survey response — day 7, dose 1
    MedDRA: Abdominal pain upper, Erythema, Injection site erythema, Injection site swelling, Pain, Swelling — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Abdominal pain
    Free text: I only had the swelling, pain, redness for approximately 3 days. So I have been answering no (because I havent had any more since the first vaccine). I just wanted to clarify. And they were obviously worse the first two days & then it was better by the 4th day. Stomach cramps was mild & it lasted about 3 days. So far no issues since.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-17
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-19
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-16
    Survey response — 3 months, dose 1
    MedDRA: Chills, Headache, Influenza like illness, Pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had my 2nd Maderna shot 6wks after the 1st shot bc I had to go out of state & then facility couldnt give me the 2nd one on time. I had flu like symptoms started 12 hrs after the shot:chills,fever, body aches lasted 10 hrs& an awful headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-07-16
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  16. 2022-01-15
    Survey response — 12 months, dose 1
    MedDRA: SARS-CoV-2 test positive — Feeling: Poor · Be unable to work or attend school
    Free text: Tested positive for covid 1/12/22.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-18

Systemic reaction (other): Abdominal cramps yesterday & today. Just noticed that

Release 2 — day 7, dose 1

2021-01-22

Systemic reaction (other): I only had the swelling, pain, redness for approximately 3 days. So I have been answering no (because I havent had any more since the first vaccine). I just wanted to clarify. And they were obviously worse the first two days & then it was better by the 4th day. Stomach cramps was mild & it lasted about 3 days. So far no issues since.

Release 7 — 3 months, dose 1

2021-04-16

Symptoms: I had my 2nd Maderna shot 6wks after the 1st shot bc I had to go out of state & then facility couldnt give me the 2nd one on time. I had flu like symptoms started 12 hrs after the shot:chills,fever, body aches lasted 10 hrs& an awful headache.

Release 10 — 12 months, dose 1

2022-01-15

Symptoms: Tested positive for covid 1/12/22.

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
SDChills ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInfluenza like illness ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 test positive · · ✓
SROAbdominal pain ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SROErythema · · ✓
SROInjection site erythema ✓ ✓ ○
SROInjection site swelling ✓ ✓ ○
SROPain · · ✓
SROSwelling · · ✓

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