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6DJ-15465-04614

3 vaccinations 15 coded responses 41 check-ins 15 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
921 / CA
Registered
2021-01-17
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-17
    Registered in v-safe
  2. 2021-01-17
    Dose 1 — Moderna
  3. 2021-01-17
    Survey response — day 0, dose 1
    MedDRA: Pain in extremity, Paraesthesia — Feeling: Good · Site: Pain
    Free text: Sore arm (that had injection), some tingling at hands, all mild
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  5. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Pain in extremity — Feeling: Fair
    Free text: Mild to moderate joint pain and arm soreness only for arm that had injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-24
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Swelling · Joint pains
    Adult check-in
  10. 2021-01-31
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-21
    Survey response — day 35, dose 1
    MedDRA: Chest pain, Dyspnoea — Feeling: Fair
    Free text: Chest pain, slight difficulty breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-02-23
    Dose 2 — Moderna
  15. 2021-02-23
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  16. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Night sweats — Feeling: Poor · Site: Pain, Swelling · Fever · 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: Increased perspiration (night sweats)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Fair · Site: Pain · Headache
    Free text: Low appetite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  21. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  22. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  23. 2021-03-09
    Survey response — day 14, dose 2
    MedDRA: Hypersensitivity, Oropharyngeal pain, Rhinorrhoea, Sneezing — Feeling: Fair
    Free text: Sore throat, sneezing, runny nose; may be related to allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-23
    Survey response — day 28, dose 2
    MedDRA: Malaise, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea, Sneezing — Feeling: Good
    Free text: Cold symptoms (runny nose, congestion, sore throat, malaise, sneezing)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-03-30
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Headache — Feeling: Good · Be unable to do your normal daily activities
    Free text: Fatigue, headache - maybe seasonal allergies?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-05-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-24
    Survey response — 6 months, dose 2
    MedDRA: Fatigue, Nasopharyngitis, Rhinorrhoea — Feeling: Good
    Free text: Runny nose, fatigue. But passed like a typical course for a cold.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  30. 2021-12-07
    Dose 3 — Moderna
  31. 2021-12-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  32. 2021-12-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain
    Free text: Swollen lymph node under underarm of arm that received shot
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Tenderness — Feeling: Good
    Free text: Tenderness, mild, under underarm of arm where injection received
    MedDRA releases: 2024-11 · check-in free text available
  34. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · None
    Adult check-in
  35. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · None
    Adult check-in
  36. 2021-12-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  37. 2021-12-14
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  38. 2021-12-23
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-28
    Survey response — day 21, dose 3
    MedDRA: Pre-existing disease, Rhinorrhoea, Throat irritation — Feeling: Fair
    Free text: Runny nose, itchy throat, likely allergies
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-01-04
    Survey response — day 28, dose 3
    MedDRA: Oropharyngeal pain — Feeling: Fair
    Free text: Sore throat
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-01-11
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  42. 2022-01-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-03-09
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  44. 2022-06-09
    Survey response — 6 months, dose 3
    MedDRA: Adverse reaction, Nasopharyngitis — Feeling: Good
    Free text: General cold or allergy symptoms
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-12-07
    Survey response — 12 months, dose 3
    MedDRA: Malaise, Nasopharyngitis, Rhinorrhoea, Viral infection — Feeling: Fair · Be unable to work or attend school
    Free text: Covid symptoms, one viral cold marked by runny nose and was longer than usual (full two weeks)
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-17Moderna
22021-02-23Moderna
32021-12-07Moderna No

Free text

Release 2 — day 0, dose 1

2021-01-17

Systemic reaction (other): Sore arm (that had injection), some tingling at hands, all mild

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Mild to moderate joint pain and arm soreness only for arm that had injection

Release 4 — day 35, dose 1

2021-02-21

Symptoms: Chest pain, slight difficulty breathing

Release 4 — days 1–6 daily, dose 2

2021-02-24

Systemic reaction (other): Increased perspiration (night sweats)

2021-02-25

Systemic reaction (other): Low appetite

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Sore throat, sneezing, runny nose; may be related to allergies

Release 6 — day 28, dose 2

2021-03-23

Symptoms: Cold symptoms (runny nose, congestion, sore throat, malaise, sneezing)

Release 6 — day 35, dose 2

2021-03-30

Symptoms: Fatigue, headache - maybe seasonal allergies?

Release 9 — 6 months, dose 2

2021-08-24

Symptoms: Runny nose, fatigue. But passed like a typical course for a cold.

Release 10 — days 1–6 daily, dose 3

2021-12-09

Systemic reaction (other): Swollen lymph node under underarm of arm that received shot

2021-12-10

Systemic reaction (other): Tenderness, mild, under underarm of arm where injection received

Release 10 — day 21, dose 3

2021-12-28

Symptoms: Runny nose, itchy throat, likely allergies

Release 10 — day 28, dose 3

2022-01-04

Symptoms: Sore throat

Release 12 — 6 months, dose 3

2022-06-09

Symptoms: General cold or allergy symptoms

Release 12 — 12 months, dose 3

2022-12-07

Symptoms: Covid symptoms, one viral cold marked by runny nose and was longer than usual (full two weeks)

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
SDAdverse reaction · · ✓
SDChest pain ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ○
SDMalaise ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPre-existing disease · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSneezing ✓ ✓ ✓
SDThroat irritation · · ✓
SDViral infection · · ✓
SROArthralgia ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROLymphadenopathy · · ✓
SRONight sweats ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROTenderness · · ✓

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

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