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54J-77517-20685

3 vaccinations 7 coded responses 25 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
024 / MA
Registered
2021-03-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-03-07
    Registered in v-safe
  3. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  5. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site rash — Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: Rash extended right above injection to end of deltoid muscle
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Increased appetite, Nausea — Feeling: Good · Site: Pain
    Free text: Correction from last two days. Noticed i felt hungry more than usual so eat more. Figured out last night feeling was actually nasusea. So from evening of 8th to enening of 9th had nausea.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Poor · Fever · Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Gastrointestinal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-14
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-22
    Survey response — day 14, dose 1
    MedDRA: Rash — Feeling: Good
    Free text: A rash on upper arm on side received 1st jab.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-03
    Dose 2 — Moderna
  13. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Muscle discomfort, Pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Muscle abd body aches are sharp shooting
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Myalgia — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: Yesterday and today muscle aches in neck on side receiving jab.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal stiffness, Pain, Vein disorder — Feeling: Good · Site: Pain · Headache, Muscle or body aches
    Free text: Stiffness on right side neck, bulging veins on temple near hairline left side, sharp shooting pains thtoughout body
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-12-08
    Dose 3 — Moderna
  27. 2022-04-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-06-12
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-12-09
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna
32021-12-08Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Rash extended right above injection to end of deltoid muscle

2021-03-10

Systemic reaction (other): Correction from last two days. Noticed i felt hungry more than usual so eat more. Figured out last night feeling was actually nasusea. So from evening of 8th to enening of 9th had nausea.

2021-03-11

Systemic reaction (other): Gastrointestinal

Release 6 — day 14, dose 1

2021-03-22

Symptoms: A rash on upper arm on side received 1st jab.

Release 6 — days 1–6 daily, dose 2

2021-04-04

Systemic reaction (other): Muscle abd body aches are sharp shooting

2021-04-05

Systemic reaction (other): Yesterday and today muscle aches in neck on side receiving jab.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Stiffness on right side neck, bulging veins on temple near hairline left side, sharp shooting pains thtoughout body

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
SDRash ✓ ✓ ✓
SROIncreased appetite ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROMuscle discomfort ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVein disorder ✓ ✓ ✓

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