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4ZX-60656-34582

3 vaccinations 5 coded responses 36 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
140 / NY
Registered
2021-04-15
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-04-15
    Registered in v-safe
  2. 2021-04-15
    Dose 1 — Moderna
  3. 2021-04-15
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · Headache
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fever · Chills
    Free text: I put ice on the injection site, yesterday. The pain at injection site went away. Took Motrin yesterday and slight headache went away by this morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-22
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-29
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-06
    Survey response — day 21, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-13
    Dose 2 — Moderna
  13. 2021-05-13
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-05-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-11-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-12-21
    Dose 3 — Moderna
  27. 2021-12-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  28. 2021-12-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Body temperature increased, Injection site erythema, Injection site pain — Feeling: Good · Site: Pain, Redness · Fever
    Free text: The pain at injwctiin site is fading due to ice beinf placed on it, very minimally red, red is fading, temperature is very low, I see these as signs the vaccine is working, am feelinf that it will all be gone by tomortow or next day. Not worried.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-12-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site erythema, Injection site pain, Pyrexia — Feeling: Good · Fever
    Free text: No pain, no redness anymore, at injection site, I have no problem resting if I need too. I suspect the fever will be gone tomorrow. My heart rate and breathing are normal.
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-12-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-12-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-12-28
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2022-01-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-01-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-01-18
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-01-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-02-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-03-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-06-21
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-12-21
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-15Moderna
22021-05-13Moderna
32021-12-21Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-16

Systemic reaction (other): None

2021-04-17

Systemic reaction (other): I put ice on the injection site, yesterday. The pain at injection site went away. Took Motrin yesterday and slight headache went away by this morning.

Release 8 — day 21, dose 1

2021-05-06

Symptoms: None

Release 10 — days 1–6 daily, dose 3

2021-12-24

Systemic reaction (other): The pain at injwctiin site is fading due to ice beinf placed on it, very minimally red, red is fading, temperature is very low, I see these as signs the vaccine is working, am feelinf that it will all be gone by tomortow or next day. Not worried.

2021-12-25

Systemic reaction (other): No pain, no redness anymore, at injection site, I have no problem resting if I need too. I suspect the fever will be gone tomorrow. My heart rate and breathing are normal.

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
SDNo adverse event ✓ ✓ ✓
SROBody temperature increased · · ✓
SROInjection site erythema · · ✓
SROInjection site pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPyrexia · · ✓

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