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5HW-31418-84848

3 vaccinations 7 coded responses 27 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
752 / TX
Registered
2020-12-31
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2020-12-28
    Dose 1 — Moderna
  2. 2020-12-31
    Registered in v-safe
  3. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-04
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-25
    Dose 2 — Moderna
  9. 2021-01-25
    Survey response — day 0, dose 2
    MedDRA: Injection site pruritus, Lymph node pain, Lymphadenopathy, Peripheral swelling — Feeling: Good
    Free text: After 1st dose 1/4/21 arm was swollen and incredibly itchy at injection site and lymph nodes in neck were tender and enlarged (same side as injection). This lasted for about a week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  11. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness, Diarrhea
    Adult check-in
  12. 2021-01-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  13. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain, Oropharyngeal pain — Feeling: Good
    Free text: Left ear ache and left side sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Good
    Free text: Just ear ache in same side as injection but probably unrelated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-01
    Survey response — day 7, dose 2
    MedDRA: Dizziness, Ear pain — Feeling: Good
    Free text: Earache on left side (same side as injection). Yesterday had some dizziness that went away but otherwise good!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-15
    Survey response — day 21, dose 2
    MedDRA: Flank pain — Feeling: Good
    Free text: Flank pain last week that lasted a few days but is now gone. Not sure if related or not but never had before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-22
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-26
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-25
    Dose 3 — Moderna
  23. 2021-10-25
    Health check-in — day 0, dose 3
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches
    Adult check-in
  24. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  25. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Brain fog, Lymphadenopathy — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Free text: Swollen lymph nodes in neck on the same side as injection and foggy headed
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-11-15
    Survey response — day 21, dose 3
    MedDRA: Pruritus, Self-medication, Urticaria — Feeling: Good
    Free text: Hives - itching starts on palms and moves to all over body and has been going on for last week going to go to dr if not better. Only thing that helps is 2 Benadryl but puts me to sleep.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-12-06
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-31
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  31. 2022-04-25
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-28Moderna
22021-01-25Moderna
32021-10-25Moderna No

Free text

Release 2 — day 0, dose 2

2021-01-25

Systemic reaction (other): After 1st dose 1/4/21 arm was swollen and incredibly itchy at injection site and lymph nodes in neck were tender and enlarged (same side as injection). This lasted for about a week.

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Left ear ache and left side sore throat

2021-01-31

Systemic reaction (other): Just ear ache in same side as injection but probably unrelated

Release 3 — day 7, dose 2

2021-02-01

Systemic reaction (other): Earache on left side (same side as injection). Yesterday had some dizziness that went away but otherwise good!

Release 4 — day 21, dose 2

2021-02-15

Symptoms: Flank pain last week that lasted a few days but is now gone. Not sure if related or not but never had before.

Release 10 — days 1–6 daily, dose 3

2021-10-28

Systemic reaction (other): Swollen lymph nodes in neck on the same side as injection and foggy headed

Release 10 — day 21, dose 3

2021-11-15

Symptoms: Hives - itching starts on palms and moves to all over body and has been going on for last week going to go to dr if not better. Only thing that helps is 2 Benadryl but puts me to sleep.

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
SDFlank pain ✓ ✓ ✓
SDPruritus · · ✓
SDSelf-medication · · ✓
SDUrticaria · · ✓
SROBrain fog · · ✓
SRODizziness ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓

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