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68Q-98549-42914

2 vaccinations 4 coded responses 12 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
472 / IN
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-20
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Survey response — day 7, dose 1
    MedDRA: Somnolence — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: I slept all day(did not eat) the day after my vaccination.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-13
    Survey response — day 21, dose 1
    MedDRA: Blister, Burning sensation, Pruritus, Rash, Swelling — Feeling: Fair
    Free text: I have a rash on my face and head as well as random places on my body. Bumps up and is itchy and then blisters and has a burning sensation.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-20
    Dose 2 — Moderna
  7. 2021-03-20
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  9. 2021-03-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-03-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy, Pre-existing disease, Vision blurred — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tiredness
    Free text: I forgot to mention on previous check ins, I believe it has also affected my vision. It has been blurry. As well, my tongue is still somewhat swollen from COVID back in December. My lymph nodes in by neck also were enlarged for a couple of the past days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-27
    Survey response — day 7, dose 2
    MedDRA: Visual impairment — Feeling: Good · Joint pains, Fatigue or tiredness
    Free text: Still some vision issues
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-17
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-03-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-20Moderna
22021-03-20Moderna

Free text

Release 5 — day 7, dose 1

2021-03-04

Systemic reaction (other): I slept all day(did not eat) the day after my vaccination.

Release 5 — day 21, dose 1

2021-03-13

Symptoms: I have a rash on my face and head as well as random places on my body. Bumps up and is itchy and then blisters and has a burning sensation.

Release 6 — days 1–6 daily, dose 2

2021-03-24

Systemic reaction (other): I forgot to mention on previous check ins, I believe it has also affected my vision. It has been blurry. As well, my tongue is still somewhat swollen from COVID back in December. My lymph nodes in by neck also were enlarged for a couple of the past days.

Release 6 — day 7, dose 2

2021-03-27

Systemic reaction (other): Still some vision issues

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
SDBlister · · ✓
SDBurning sensation ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDSwelling · · ✓
SROLymphadenopathy ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓
SROVisual impairment ✓ ✓ ✓

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