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
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2021-04-19
Dose 1 — Moderna
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2021-04-20
Registered in v-safe
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Dehydration, Syncope — Feeling: Good · Site: Pain, RednessFree text: Very faint slight sensation behind the eyes in the morning; dehydrationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-04-22
- 2021-04-23
- 2021-04-24
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2021-04-25
Survey response — days 1–6 daily, dose 1MedDRA: Puncture site discolouration — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Slight discoloration around the puncture mark, about 3 millimeters has been there from the beginning...doesnt seem to be fadingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
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2021-05-18
Dose 2 — Moderna
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2021-05-18
Survey response — day 0, dose 2MedDRA: Chills — Feeling: Fair · Site: Pain, Redness · Fever · HeadacheFree text: On the verge of chills but not quiteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness, SwellingFree text: None today but yesterday my fever went up to 101.5 but it dropped after 3.5 hrs to normal tempMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: RednessFree 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
- 2021-05-22
- 2021-05-23
- 2021-05-24
- 2021-05-25
- 2021-06-01
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2021-06-08
Survey response — day 21, dose 2MedDRA: Injection site erythema — Feeling: GoodFree text: Red brown mark remains where i got both shots. It looks like a large freckleMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-06-22
- 2021-06-29
- 2021-08-17
- 2021-11-16
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2022-01-21
Dose 3 — Moderna
- 2022-04-29
- 2022-07-22
- 2023-01-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna | |
| 2 | 2021-05-18 | Moderna | |
| 3 | 2022-01-21 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Very faint slight sensation behind the eyes in the morning; dehydration
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
Systemic reaction (other): On the verge of chills but not quite
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): None today but yesterday my fever went up to 101.5 but it dropped after 3.5 hrs to normal temp
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Puncture site discolouration | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release