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5B7-12051-67856

2 vaccinations 7 coded responses 18 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
880 / NM
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Dose 1 — Moderna
  2. 2021-04-06
    Registered in v-safe
  3. 2021-04-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-09
    Survey response — day 14, dose 1
    MedDRA: Injection site pain, Rash papular, Rash pruritic — Feeling: Good
    Free text: Covid arm red very itchy rash, 2 x 3, raised, area over deltoid including injrction site. Appeared 12 days post vax. Tender but not painful. This is day 15, still red, not raised, not quite as itchy. No fever,red area warmer than rest of skin
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-23
    Dose 2 — Moderna
  7. 2021-04-23
    Survey response — day 0, dose 2
    MedDRA: Balance disorder — Feeling: Fair · Headache
    Free text: Slightly "off balance
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches
    Adult check-in
  9. 2021-04-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches
    Free text: Rash on arm has tripled in size since vaccine was given 2 days ago
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  11. 2021-04-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  12. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  13. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-30
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-07
    Survey response — day 14, dose 2
    MedDRA: Dizziness, Headache — Feeling: Good
    Free text: Headaches and some dizziness daily
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-14
    Survey response — day 21, dose 2
    MedDRA: Back pain, Headache — Feeling: Fair
    Free text: Back pain. Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-04
    Survey response — day 42, dose 2
    MedDRA: Balance disorder, Fall — Feeling: Fair
    Free text: Feel off balance more often, had a fall.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-07-23
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-22
    Survey response — 6 months, dose 2
    MedDRA: Brain fog, Speech disorder — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Some difficulty speaking: i know what I want to say, but either the words don't come, or my mouth does not pronounce the words correctly. It's transient, no pain. Some occasional brain fog. Not like me at all.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna

Free text

Release 7 — day 14, dose 1

2021-04-09

Symptoms: Covid arm red very itchy rash, 2 x 3, raised, area over deltoid including injrction site. Appeared 12 days post vax. Tender but not painful. This is day 15, still red, not raised, not quite as itchy. No fever,red area warmer than rest of skin

Release 7 — day 0, dose 2

2021-04-23

Systemic reaction (other): Slightly "off balance

Release 7 — days 1–6 daily, dose 2

2021-04-25

Systemic reaction (other): Rash on arm has tripled in size since vaccine was given 2 days ago

Release 8 — day 14, dose 2

2021-05-07

Symptoms: Headaches and some dizziness daily

Release 8 — day 21, dose 2

2021-05-14

Symptoms: Back pain. Headaches

Release 8 — day 42, dose 2

2021-06-04

Symptoms: Feel off balance more often, had a fall.

Release 10 — 6 months, dose 2

2021-10-22

Symptoms: Some difficulty speaking: i know what I want to say, but either the words don't come, or my mouth does not pronounce the words correctly. It's transient, no pain. Some occasional brain fog. Not like me at all.

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
SDBack pain ✓ ✓ ✓
SDBalance disorder ✓ ✓ ✓
SDBrain fog · · ✓
SDDizziness ✓ ✓ ✓
SDFall ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDRash papular ✓ ✓ ✓
SDRash pruritic ✓ ✓ ✓
SDSpeech disorder · · ✓
SROBalance disorder ✓ ✓ ✓
SRORash ✓ ✓ ✓

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