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63J-22063-69554

4 vaccinations 3 coded responses 15 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
061 / CT
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-13
    Dose 1 — Moderna
  2. 2021-01-22
    Registered in v-safe
  3. 2021-01-22
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness, Swelling, Itching · None
    Adult check-in
  4. 2021-01-27
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site warmth — Feeling: Fair
    Free text: I developed a bright red ( and hot to the touch) rash at the injection site. It has spread almost to my elbow, but it is now lighter in color and no longer hot to touch. I am scheduled for a video conference tomorrow morning with my primary care dr
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-10
    Dose 2 — Moderna
  7. 2021-02-17
    Survey response — day 7, dose 2
    MedDRA: Urinary tract infection — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I developed a UTI within 2 days of the shot. May be that my resistance was lowered by fighting the vaccine??
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-10
    Survey response — day 28, dose 2
    MedDRA: Aphasia, Feeling abnormal — Feeling: Fair
    Free text: I feel that I have bit of brain fog. I felt it earlier but didnt connect it as a possible result of the vaccine. Lately Ive had a bit of trouble with finding the words to express myself. Could it be the vaccine??
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-08-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-09-01
    Dose 3 — Moderna
  14. 2021-12-01
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-03-02
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-04-07
    Dose 4 — Moderna
  17. 2022-05-14
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  18. 2022-05-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-07-07
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  20. 2023-04-09
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-13Moderna
22021-02-10Moderna
32021-09-01Moderna No
42022-04-07Moderna No

Free text

Release 2 — day 14, dose 1

2021-01-27

Symptoms: I developed a bright red ( and hot to the touch) rash at the injection site. It has spread almost to my elbow, but it is now lighter in color and no longer hot to touch. I am scheduled for a video conference tomorrow morning with my primary care dr cut off by CDC

Release 4 — day 7, dose 2

2021-02-17

Systemic reaction (other): I developed a UTI within 2 days of the shot. May be that my resistance was lowered by fighting the vaccine??

Release 5 — day 28, dose 2

2021-03-10

Symptoms: I feel that I have bit of brain fog. I felt it earlier but didnt connect it as a possible result of the vaccine. Lately Ive had a bit of trouble with finding the words to express myself. Could it be the vaccine??

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
SDAphasia ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SROUrinary tract infection ✓ ✓ ✓

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