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5FP-19238-44735

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
123 / NY
Registered
2021-01-14
Relationship
Self

Timeline

  1. 2021-01-12
    Dose 1 — Moderna
  2. 2021-01-14
    Registered in v-safe
  3. 2021-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Redness
    Free text: Duay of test piles was racing and head was tingling..for about 6 hours. Fine ever since
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-01-19
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-26
    Survey response — day 14, dose 1
    MedDRA: Rash macular, Self-medication — Feeling: Fair
    Free text: Since 1/24 the red blotch on my arm from vaccine shot has grown another circle around it. Blotch is 2 round , outer ring is 5 at its widest. Taking benedryl and icing for 36 hours still hasnt gone away.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-09
    Dose 2 — Moderna
  12. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  13. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema — Feeling: Good · Site: Redness, Swelling
    Free text: The redness on my arm is about 6 at is widest in diameter.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  16. 2021-02-18
    Survey response — day 7, dose 2
    MedDRA: Erythema, Paraesthesia — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Néw red mark on neck/upper middle shoulder. Tingly reaction not raised
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-12Moderna
22021-02-09Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-14

Systemic reaction (other): Duay of test piles was racing and head was tingling..for about 6 hours. Fine ever since

Release 2 — day 14, dose 1

2021-01-26

Symptoms: Since 1/24 the red blotch on my arm from vaccine shot has grown another circle around it. Blotch is 2 round , outer ring is 5 at its widest. Taking benedryl and icing for 36 hours still hasnt gone away.

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): The redness on my arm is about 6 at is widest in diameter.

Release 4 — day 7, dose 2

2021-02-18

Systemic reaction (other): Néw red mark on neck/upper middle shoulder. Tingly reaction not raised

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 macular ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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