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5K8-60566-92857

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
661 / KS
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-02
    Dose 1 — Moderna
  2. 2021-03-04
    Dose 2 — Moderna
  3. 2021-04-06
    Registered in v-safe
  4. 2021-04-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  5. 2021-04-08
    Survey response — day 35, dose 2
    MedDRA: Hyperaesthesia teeth, Office visit — Feeling: Good
    Free text: Just teeth sensitivity for up to 25 days. Talk to my dentist since I had a dental check up and he stated I am not the only one that had this issue. Only happened after second vaccine other than that good to go
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  7. 2021-06-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  8. 2021-09-02
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-10-26
    Dose 3 — Moderna
  10. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Reaction to previous exposure to any vaccine, Unevaluable event — Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Much less than last time
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-10-28
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Free text: Soreness in left arm pit (same arm I got the shot)
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-10-29
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Good
    Free text: Sore under arm pit same arm as shot
    MedDRA releases: 2024-11 · check-in free text available
  13. 2021-10-30
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain — Feeling: Good
    Free text: Just a little arm pit soreness in the shot side
    MedDRA releases: 2024-11 · check-in free text available
  14. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  15. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  16. 2021-11-04
    Survey response — day 7, dose 3
    MedDRA: Injection site rash — Feeling: Good
    Free text: Had a small rash that just started yesterday above the shot site very small
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-09
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  18. 2021-11-16
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-23
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-30
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-07
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-01-25
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-04-26
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-10-26
    Survey response — 12 months, dose 3
    MedDRA: COVID-19, Heart rate increased, Toothache — Feeling: Good
    Free text: Rapid heart rate and my teeth are hurting Yeah ma'am found out I was positive for Covid no I
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-02Moderna
22021-03-04Moderna
32021-10-26Moderna No

Free text

Release 7 — day 35, dose 2

2021-04-08

Symptoms: Just teeth sensitivity for up to 25 days. Talk to my dentist since I had a dental check up and he stated I am not the only one that had this issue. Only happened after second vaccine other than that good to go

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Much less than last time

2021-10-28

Systemic reaction (other): Soreness in left arm pit (same arm I got the shot)

2021-10-29

Systemic reaction (other): Sore under arm pit same arm as shot

2021-10-30

Systemic reaction (other): Just a little arm pit soreness in the shot side

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Had a small rash that just started yesterday above the shot site very small

Release 12 — 12 months, dose 3

2022-10-26

Symptoms: Rapid heart rate and my teeth are hurting Yeah ma'am found out I was positive for Covid no I

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
SDCOVID-19 · · ✓
SDHeart rate increased · · ✓
SDHyperaesthesia teeth ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDToothache · · ✓
SROAxillary pain · · ✓
SROInjection site rash · · ✓
SROReaction to previous exposure to any vaccine · · ✓
SROUnevaluable event · · ✓

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

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