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5D6-80590-15647

2 vaccinations 2 coded responses 24 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
856 / AZ
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-18
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  4. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Decreased appetite, Discomfort, Heart rate increased, Hypoaesthesia, Pre-existing disease, Restlessness — Feeling: Good · Be unable to do your normal daily activities
    Free text: After checkin yesterday 3/21: heart rate increases with position changes, hypertension to 170/90 requiring additional lisinopril x2 and 3 low dose aspirin, moderate right and left temporal headaches, muffled hearing for about 20 minutes, numbness in fingers of right hand and in fingers to above wrist on left, loss of appetite and restlessness and generalized discomfort despite frequent repositioning in attempts to find positions of comfort
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-15
    Dose 2 — Moderna
  13. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Itching · Joint pains, Muscle or body aches
    Adult check-in
  15. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Mild pain at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): After checkin yesterday 3/21: heart rate increases with position changes, hypertension to 170/90 requiring additional lisinopril x2 and 3 low dose aspirin, moderate right and left temporal headaches, muffled hearing for about 20 minutes, numbness in fingers of right hand and in fingers to above wrist on left, loss of appetite and restlessness and generalized discomfort despite frequent repositioning in attempts to find positions of comfort

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): Mild pain at injection site

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
SRODecreased appetite ✓ ✓ ✓
SRODiscomfort ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORestlessness ✓ ✓ ✓

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