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6G3-81537-70678

3 vaccinations 6 coded responses 27 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
900 / CA
Registered
2021-04-20
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-19
    Dose 1 — Moderna
  2. 2021-04-20
    Registered in v-safe
  3. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dehydration, Syncope — Feeling: Good · Site: Pain, Redness
    Free text: Very faint slight sensation behind the eyes in the morning; dehydration
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Puncture site discolouration — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: Slight discoloration around the puncture mark, about 3 millimeters has been there from the beginning...doesnt seem to be fading
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-26
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Redness · None
    Adult check-in
  10. 2021-05-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-18
    Dose 2 — Moderna
  13. 2021-05-18
    Survey response — day 0, dose 2
    MedDRA: Chills — Feeling: Fair · Site: Pain, Redness · Fever · Headache
    Free text: On the verge of chills but not quite
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: None today but yesterday my fever went up to 101.5 but it dropped after 3.5 hrs to normal temp
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  16. 2021-05-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema — Feeling: Good · Site: Redness
    Free text: I have redness at the base of the injection site that is not going away...this happenned with the first shot as well..i had the second shot done at the same place so i would not be left w two red marks. Im vain, is there anything i can do?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-25
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  21. 2021-06-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-08
    Survey response — day 21, dose 2
    MedDRA: Injection site erythema — Feeling: Good
    Free text: Red brown mark remains where i got both shots. It looks like a large freckle
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-06-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-01-21
    Dose 3 — Moderna
  29. 2022-04-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-07-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2023-01-21
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Moderna
22021-05-18Moderna
32022-01-21Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Very faint slight sensation behind the eyes in the morning; dehydration

2021-04-25

Systemic reaction (other): Slight discoloration around the puncture mark, about 3 millimeters has been there from the beginning...doesnt seem to be fading

Release 8 — day 0, dose 2

2021-05-18

Systemic reaction (other): On the verge of chills but not quite

Release 8 — days 1–6 daily, dose 2

2021-05-19

Systemic reaction (other): None today but yesterday my fever went up to 101.5 but it dropped after 3.5 hrs to normal temp

2021-05-21

Systemic reaction (other): I have redness at the base of the injection site that is not going away...this happenned with the first shot as well..i had the second shot done at the same place so i would not be left w two red marks. Im vain, is there anything i can do?

Release 8 — day 21, dose 2

2021-06-08

Symptoms: Red brown mark remains where i got both shots. It looks like a large freckle

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
SDInjection site erythema ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROPuncture site discolouration ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSyncope ✓ ✓ ✓

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