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65V-16139-55406

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
120 / NY
Registered
2022-01-10
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2022-01-10
    Registered in v-safe
  2. 2022-01-10
    Dose 1 — Moderna
  3. 2022-01-10
    Health check-in — day 0, dose 1
    Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tiredness
    Adult check-in
  4. 2022-01-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2022-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2022-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2022-01-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Tiny tiny bruise on injection site
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2022-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2022-01-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2022-01-24
    Survey response — day 14, dose 1
    MedDRA: Lymphadenopathy, Rash erythematous, Rash pruritic, Self-medication, Skin warm — Feeling: Good
    Free text: Got a huge red, hot, itchy rash 7.5 days after my first dose. I used hydrocortisone and ice. Its now day 14 and its almost gone. Also had some swollen lymph nodes under my collar bone, armpit and neck on same side as where i got my vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-01-31
    Survey response — day 21, dose 1
    MedDRA: Immunisation reaction, Lymphadenopathy, Pain in extremity, Rash — Feeling: Good
    Free text: Swollen glands still Covid arm rash gone but arm stil hurts a bit
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-02-09
    Dose 2 — Moderna
  14. 2022-02-09
    Health check-in — day 0, dose 2
    Feeling: Good · Chills, Fatigue or tiredness, Nausea
    Adult check-in
  15. 2022-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  16. 2022-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  17. 2022-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2022-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  19. 2022-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · Fatigue or tiredness
    Adult check-in
  20. 2022-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good · Site: Redness, Itching · Fatigue or tiredness
    Free text: Bruising on injection site
    MedDRA releases: 2024-11 · check-in free text available
  21. 2022-02-16
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  22. 2022-02-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-03-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-03-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-03-23
    Survey response — day 42, dose 2
    MedDRA: Pruritus — Feeling: Good
    Free text: My arm is still itching from my 2nd vaccine. No rash
    MedDRA releases: 2024-11 · check-in free text available
  27. 2022-05-11
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12022-01-10Moderna No
22022-02-09Moderna No

Free text

Release 10 — days 1–6 daily, dose 1

2022-01-14

Systemic reaction (other): Tiny tiny bruise on injection site

Release 11 — day 14, dose 1

2022-01-24

Symptoms: Got a huge red, hot, itchy rash 7.5 days after my first dose. I used hydrocortisone and ice. Its now day 14 and its almost gone. Also had some swollen lymph nodes under my collar bone, armpit and neck on same side as where i got my vaccine.

Release 11 — day 21, dose 1

2022-01-31

Symptoms: Swollen glands still Covid arm rash gone but arm stil hurts a bit

Release 11 — days 1–6 daily, dose 2

2022-02-10

Systemic reaction (other): Dizziness

2022-02-15

Systemic reaction (other): Bruising on injection site

Release 11 — day 42, dose 2

2022-03-23

Symptoms: My arm is still itching from my 2nd vaccine. No rash

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
SDImmunisation reaction · · ✓
SDLymphadenopathy · · ✓
SDPain in extremity · · ✓
SDPruritus · · ✓
SDRash · · ✓
SDRash erythematous · · ✓
SDRash pruritic · · ✓
SDSelf-medication · · ✓
SDSkin warm · · ✓
SRODizziness · · ✓
SROInjection site bruising · · ✓

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