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5AP-23553-05489

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
972 / OR
Registered
2021-05-08
Relationship
Self
Race
Multiracial
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-05-08
    Registered in v-safe
  2. 2021-05-08
    Dose 1 — Moderna
  3. 2021-05-08
    Survey response — day 0, dose 1
    MedDRA: Pain in extremity, Paraesthesia — Feeling: Good
    Free text: About two hours after my first shot, the arm i received my shot in keeps getting tingly then goes away and comes back. Ill continue to monitor.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Swelling
    Free text: The tingling i had in my injection arm the first day went away and hasnt returned, it only lasted about 3 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness · Be unable to work
    Adult check-in
  6. 2021-05-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  7. 2021-05-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  8. 2021-05-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  9. 2021-05-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-15
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-05-22
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-06-05
    Dose 2 — Moderna
  14. 2021-06-05
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Nausea
    Adult check-in
  15. 2021-06-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-06-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in
  17. 2021-06-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flatulence, Musculoskeletal chest pain, Self-medication — Feeling: Fair · Site: Itching · Chills, Headache, Fatigue or tiredness
    Free text: I have noticed ive been having air bubbles that cause rib pain, took pepcid and it was fine after.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-06-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Good · Site: Itching · Fatigue or tiredness
    Free text: Ive had no appitite since my shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Fair
    Free text: Lack of appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-12
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-06-19
    Survey response — day 14, dose 2
    MedDRA: Abdominal pain, Back pain — Feeling: Fair
    Free text: Lower back and abdominal pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-26
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-07-03
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-10
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-09-04
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-12-04
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-06-05
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-08Moderna
22021-06-05Moderna

Free text

Release 8 — day 0, dose 1

2021-05-08

Systemic reaction (other): About two hours after my first shot, the arm i received my shot in keeps getting tingly then goes away and comes back. Ill continue to monitor.

Release 8 — days 1–6 daily, dose 1

2021-05-09

Systemic reaction (other): The tingling i had in my injection arm the first day went away and hasnt returned, it only lasted about 3 hours.

Release 8 — days 1–6 daily, dose 2

2021-06-08

Systemic reaction (other): I have noticed ive been having air bubbles that cause rib pain, took pepcid and it was fine after.

Release 9 — days 1–6 daily, dose 2

2021-06-10

Systemic reaction (other): Ive had no appitite since my shot.

2021-06-11

Systemic reaction (other): Lack of appetite

Release 9 — day 14, dose 2

2021-06-19

Symptoms: Lower back and abdominal pain

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
SDAbdominal pain ✓ ✓ ✓
SDBack pain ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROFlatulence · · ✓
SROMusculoskeletal chest pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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