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4ZM-88257-22170

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
770 / TX
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-06
    Registered in v-safe
  2. 2021-01-06
    Dose 1 — Moderna
  3. 2021-01-06
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches
    Adult check-in
  5. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-01-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Rash on right palm. Noticed on Sunday-small, now size of aspirin. One spot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain of skin — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Same as yesterday. Right hand. Size of pencil eraser. Stings
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-13
    Survey response — day 7, dose 1
    MedDRA: Pain, Rash, Swelling — Feeling: Good
    Free text: Still have that rash on my hand. Still stings and the spot is getting a little larger.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-22
    Survey response — day 14, dose 1
    MedDRA: Blister, Rash — Feeling: Good
    Free text: I still have that rash/blister on my right hand.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-03
    Dose 2 — Moderna
  12. 2021-02-03
    Survey response — day 0, dose 2
    MedDRA: Fatigue, Hypersomnia, Impaired work ability, Rash — Feeling: Good · Site: Pain · Be unable to work
    Free text: On 1/25, I woke up very tired, called in work, went back to bed, slept 6.5 hrs. Felt better when woke up. Occurred 19 days after 1st shot. Still have rash on rt hand.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  14. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  15. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-02-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  17. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-02-10
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-02-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-05
    Survey response — day 28, dose 2
    MedDRA: Pyrexia — Feeling: Good
    Free text: I have had a low grade fever a couple of times this week. Tuesday at 98.9 and this morning at 99. I am usually 97.9. No other apparent symptoms.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-08-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-06Moderna
22021-02-03Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-11

Systemic reaction (other): Rash on right palm. Noticed on Sunday-small, now size of aspirin. One spot.

2021-01-12

Systemic reaction (other): Same as yesterday. Right hand. Size of pencil eraser. Stings

Release 1 — day 7, dose 1

2021-01-13

Systemic reaction (other): Still have that rash on my hand. Still stings and the spot is getting a little larger.

Release 2 — day 14, dose 1

2021-01-22

Symptoms: I still have that rash/blister on my right hand.

Release 3 — day 0, dose 2

2021-02-03

Systemic reaction (other): On 1/25, I woke up very tired, called in work, went back to bed, slept 6.5 hrs. Felt better when woke up. Occurred 19 days after 1st shot. Still have rash on rt hand.

Release 5 — day 28, dose 2

2021-03-05

Symptoms: I have had a low grade fever a couple of times this week. Tuesday at 98.9 and this morning at 99. I am usually 97.9. No other apparent symptoms.

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
SDBlister ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHypersomnia ✓ · ✓
SROImpaired work ability ✓ · ✓
SROPain ✓ ✓ ✓
SROPain of skin ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

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