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5NN-10709-69943

2 vaccinations 15 coded responses 24 check-ins 15 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
925 / CA
Registered
2021-01-18
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-18
    Registered in v-safe
  2. 2021-01-18
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  5. 2021-01-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Increased appetite, Injection site bruising, Injection site rash, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Red round spots that look like rash an inch or so under injection site that feels warm, bruised injection site, Increased appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Injection site pruritus, Injection site rash, Injection site warmth — Feeling: Good · Site: Pain, Redness, Itching · Headache, Rash, not including the immediate area around the injection site
    Free text: Bruise, rash like spot underneath injection site thats itchy once in a while and a little warm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness, Nausea
    Free text: Bruise at injection site, warm red patch under injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache
    Adult check-in
  9. 2021-01-25
    Survey response — day 7, dose 1
    MedDRA: Injection site bruising — Feeling: Good · Headache, Nausea
    Free text: Bruise at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-01
    Survey response — day 14, dose 1
    MedDRA: Dyspnoea — Feeling: Good
    Free text: a little bit of SOB
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-08
    Survey response — day 21, dose 1
    MedDRA: Headache — Feeling: Fair
    Free text: increased headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-15
    Dose 2 — Moderna
  13. 2021-02-15
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fever · Headache, Abdominal pain
    Adult check-in
  14. 2021-02-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain, Redness, Itching · Fever · Headache
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Contusion — Feeling: Good · Site: Redness, Itching
    Free text: Bruising
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-02-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruising at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-22
    Survey response — day 7, dose 2
    MedDRA: Injection site bruising — Feeling: Good · Muscle or body aches
    Free text: Bruising on injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-24
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-17
    Survey response — 3 months, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: A little bit short of breath more
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-08-17
    Survey response — 6 months, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Sometimes I feel like Im having dyspnea but not concerning
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2022-02-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-18Moderna
22021-02-15Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-20

Systemic reaction (other): Red round spots that look like rash an inch or so under injection site that feels warm, bruised injection site, Increased appetite

2021-01-21

Systemic reaction (other): Bruise, rash like spot underneath injection site thats itchy once in a while and a little warm

2021-01-22

Systemic reaction (other): Bruise at injection site, warm red patch under injection site

Release 2 — day 7, dose 1

2021-01-25

Systemic reaction (other): Bruise at injection site

Release 3 — day 14, dose 1

2021-02-01

Symptoms: a little bit of SOB

Release 3 — day 21, dose 1

2021-02-08

Symptoms: increased headaches

Release 4 — days 1–6 daily, dose 2

2021-02-16

Systemic reaction (other): Dizziness

2021-02-17

Systemic reaction (other): Dizziness

2021-02-18

Systemic reaction (other): Dizziness

2021-02-19

Systemic reaction (other): Dizziness

2021-02-20

Systemic reaction (other): Bruising

2021-02-21

Systemic reaction (other): Bruising at injection site

Release 4 — day 7, dose 2

2021-02-22

Systemic reaction (other): Bruising on injection site

Release 8 — 3 months, dose 2

2021-05-17

Symptoms: A little bit short of breath more

Release 9 — 6 months, dose 2

2021-08-17

Symptoms: Sometimes I feel like Im having dyspnea but not concerning

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
SDDyspnoea ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROIncreased appetite ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓

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

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