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5EL-13958-75798

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
479 / IN
Registered
2021-03-20
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-17
    Dose 1 — Moderna
  2. 2021-03-17
    Dose 2 — Moderna
  3. 2021-03-20
    Registered in v-safe
  4. 2021-03-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Skin warm — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Free text: Arm redness is growing with heat still in arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper, Cheilitis, Decreased appetite, Erythema, Feeling hot, Glossodynia, Hunger, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Free text: Sores on and inside lower lip, roof of mouth? And tongue, stomach ache, hungry but not wanting to eat, arm redness finallybetter in some areas, other area still red and some heat in it. Took a Benadryl a couple times. This is the start of day 5. This is going to get better, right?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Adult check-in
  8. 2021-03-24
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  9. 2021-04-01
    Survey response — day 14, dose 2
    MedDRA: Injection site pain — Feeling: Good
    Free text: Arm is still sore around injection site. Sore under jawline some. Lymph nodes? Its been two weeks. Have not gone to dr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-14
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-28
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-18
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-17
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-17Moderna
22021-03-17Moderna

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-20

Systemic reaction (other): Arm redness is growing with heat still in arm

2021-03-21

Systemic reaction (other): Sores on and inside lower lip, roof of mouth? And tongue, stomach ache, hungry but not wanting to eat, arm redness finallybetter in some areas, other area still red and some heat in it. Took a Benadryl a couple times. This is the start of day 5. This is going to get better, right?

Release 6 — day 14, dose 2

2021-04-01

Symptoms: Arm is still sore around injection site. Sore under jawline some. Lymph nodes? Its been two weeks. Have not gone to dr

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
SDInjection site pain ✓ ✓ ✓
SROAbdominal pain upper ✓ ✓ ✓
SROCheilitis ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROGlossodynia ✓ ✓ ✓
SROHunger ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓

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