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5LC-89636-34173

2 vaccinations 8 coded responses 11 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
222 / VA
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Survey response — day 0, dose 1
    MedDRA: Hypersensitivity, Rhinorrhoea — Feeling: Fair
    Free text: More of a runny nose than this morning. No idea if this is vax or allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspnoea — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: More easily winded than usual, had to cut down on activities.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Contusion, Decreased appetite, Respiratory disorder — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Brusing around one eye, continued diminished respiratory capability, odd complete loss of appetite.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Adult check-in
  7. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye disorder — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Still having eye problems, possibly ingrown lashes or another irritant as a reaction to vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye disorder — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Eye situation may be improving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  10. 2021-03-17
    Survey response — day 14, dose 1
    MedDRA: Pruritus — Feeling: Fair
    Free text: General itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-23
    Survey response — day 21, dose 1
    MedDRA: Condition aggravated, Polymyositis, Pre-existing disease — Feeling: Fair
    Free text: Probably starting a polymiositis flare but not as bad as last fall.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-31
    Dose 2 — Moderna
  13. 2021-04-09
    Survey response — day 7, dose 2
    MedDRA: Condition aggravated, Pre-existing disease — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Im having a Polymiositis flare. Am I crazy or is it a little better this week.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-31Moderna

Free text

Release 4 — day 0, dose 1

2021-03-02

Systemic reaction (other): More of a runny nose than this morning. No idea if this is vax or allergies

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): More easily winded than usual, had to cut down on activities.

2021-03-04

Systemic reaction (other): Brusing around one eye, continued diminished respiratory capability, odd complete loss of appetite.

2021-03-07

Systemic reaction (other): Still having eye problems, possibly ingrown lashes or another irritant as a reaction to vaccine

2021-03-08

Systemic reaction (other): Eye situation may be improving

Release 5 — day 14, dose 1

2021-03-17

Symptoms: General itching

Release 6 — day 21, dose 1

2021-03-23

Symptoms: Probably starting a polymiositis flare but not as bad as last fall.

Release 7 — day 7, dose 2

2021-04-09

Systemic reaction (other): Im having a Polymiositis flare. Am I crazy or is it a little better this week.

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
SDCondition aggravated ✓ · ✓
SDPolymyositis ✓ ✓ ○
SDPre-existing disease ✓ · ✓
SDPruritus ✓ ✓ ✓
SROCondition aggravated ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROEye disorder ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORespiratory disorder ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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