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6F2-33557-08597

3 vaccinations 7 coded responses 11 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
980 / WA
Registered
2021-05-07
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-07
    Registered in v-safe
  2. 2021-05-07
    Dose 1 — Moderna
  3. 2021-05-07
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-05-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-05-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rash, Rash pruritic, Skin burning sensation — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: The rash is on both of my thighs it itches and felt burning a little.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-17
    Survey response — day 7, dose 1
    MedDRA: Erythema — Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Im not sure if it's vaccine related but I just noticed a bunch of red dots under my right breast.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-06-03
    Dose 2 — Moderna
  9. 2021-06-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Chills, Heart rate increased, Hyperhidrosis — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: My heart seems to beat fast when I try to do things and I have had a little chest pain occasionally. I also was sweating all night and went to bed with chills.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-06-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Free text: I have a runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-06-28
    Survey response — day 21, dose 2
    MedDRA: Chest discomfort — Feeling: Good
    Free text: Idk if it's related but sometimes if feels like my chest is heavy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-09-02
    Survey response — 3 months, dose 2
    MedDRA: Chest pain — Feeling: Good
    Free text: I don't know if it was the birth control I was on or the vaccine or the combination of both but my chest hurt a little persistently for awhile until I stopped taking the birth control I was on 2 days ago. I don't rememberwhen the chest pain started.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  13. 2022-01-19
    Dose 3 — Moderna
  14. 2022-07-20
    Survey response — 6 months, dose 3
    MedDRA: Extrasystoles, Weight increased — Feeling: Good
    Free text: Every once in awhile my heart skips a beat or but it's rair. It never happened before I got the vaccines. And I gained like 50 to 100 lbs since I got the first vaccine but idk if either problem is related to the vaccines.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2023-01-21
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-07Moderna
22021-06-03Moderna
32022-01-19Moderna No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-09

Systemic reaction (other): The rash is on both of my thighs it itches and felt burning a little.

Release 8 — day 7, dose 1

2021-05-17

Systemic reaction (other): Im not sure if it's vaccine related but I just noticed a bunch of red dots under my right breast.

Release 8 — days 1–6 daily, dose 2

2021-06-04

Systemic reaction (other): My heart seems to beat fast when I try to do things and I have had a little chest pain occasionally. I also was sweating all night and went to bed with chills.

2021-06-05

Systemic reaction (other): I have a runny nose

Release 9 — day 21, dose 2

2021-06-28

Symptoms: Idk if it's related but sometimes if feels like my chest is heavy.

Release 9 — 3 months, dose 2

2021-09-02

Symptoms: I don't know if it was the birth control I was on or the vaccine or the combination of both but my chest hurt a little persistently for awhile until I stopped taking the birth control I was on 2 days ago. I don't rememberwhen the chest pain started. cut off by CDC

Release 12 — 6 months, dose 3

2022-07-20

Symptoms: Every once in awhile my heart skips a beat or but it's rair. It never happened before I got the vaccines. And I gained like 50 to 100 lbs since I got the first vaccine but idk if either problem is related to the vaccines.

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
SDChest discomfort ✓ ✓ ✓
SDChest pain ✓ · ✓
SDExtrasystoles · · ✓
SDWeight increased · · ✓
SROChest pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROHeart rate increased ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROSkin burning sensation ✓ ✓ ✓

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

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