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5XS-31669-53706

2 vaccinations 11 coded responses 28 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
531 / WI
Registered
2021-05-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-06
    Registered in v-safe
  2. 2021-05-06
    Dose 1 — Moderna
  3. 2021-05-06
    Survey response — day 0, dose 1
    MedDRA: Paraesthesia — Feeling: Fair · Site: Pain · Headache
    Free text: Tingling in whole arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-05-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-05-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-05-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Muscle or body aches
    Adult check-in
  8. 2021-05-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-13
    Survey response — day 7, dose 1
    MedDRA: Fungal infection — Feeling: Good
    Free text: Yeast infection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-20
    Survey response — day 14, dose 1
    MedDRA: Asthma, Dyspnoea, Pre-existing disease — Feeling: Fair
    Free text: Shortness of breath, increased asthma attacks. Unclear if thia is from vaccine or pollen and such
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-27
    Survey response — day 21, dose 1
    MedDRA: Pyrexia — Feeling: Fair
    Free text: Low grade fevee
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-03
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  14. 2021-06-10
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  15. 2021-06-19
    Dose 2 — Moderna
  16. 2021-06-19
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-06-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site discomfort — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Hard spot in skin below injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-06-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site rash — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Rash below injection site is growing in size
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-06-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Injection site erythema, Injection site swelling, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness, had to take multiple benadryl to stop the redness and swelling in my arm below injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-06-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site reaction, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Symptoms around injection site are only better because if a benadryl regimen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-06-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Itching · Headache, Joint pains, Fatigue or tiredness
    Adult check-in
  24. 2021-07-03
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-07-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-24
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-07-31
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  29. 2021-09-18
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  30. 2021-12-18
    Health check-in — 6 months, dose 2
    Feeling: Poor
    Adult check-in
  31. 2022-06-19
    Health check-in — 12 months, dose 2
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-06Moderna
22021-06-19Moderna No

Free text

Release 8 — day 0, dose 1

2021-05-06

Systemic reaction (other): Tingling in whole arm

Release 8 — days 1–6 daily, dose 1

2021-05-08

Systemic reaction (other): Dizziness

Release 8 — day 7, dose 1

2021-05-13

Systemic reaction (other): Yeast infection

Release 8 — day 14, dose 1

2021-05-20

Symptoms: Shortness of breath, increased asthma attacks. Unclear if thia is from vaccine or pollen and such

Release 8 — day 21, dose 1

2021-05-27

Symptoms: Low grade fevee

Release 9 — days 1–6 daily, dose 2

2021-06-20

Systemic reaction (other): Dizziness

2021-06-21

Systemic reaction (other): Hard spot in skin below injection site

2021-06-22

Systemic reaction (other): Rash below injection site is growing in size

2021-06-23

Systemic reaction (other): Dizziness, had to take multiple benadryl to stop the redness and swelling in my arm below injection site

2021-06-24

Systemic reaction (other): Symptoms around injection site are only better because if a benadryl regimen

2021-06-25

Systemic reaction (other): Dizziness

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
SDAsthma ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFungal infection ✓ ✓ ✓
SROInjection site discomfort ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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

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