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6JU-19942-06005

2 vaccinations 6 coded responses 16 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
841 / UT
Registered
2021-01-27
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-27
    Registered in v-safe
  2. 2021-01-27
    Dose 1 — Moderna
  3. 2021-01-27
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  6. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling, Itching · Headache, Diarrhea
    Adult check-in
  7. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Itching · Headache, Nausea
    Adult check-in
  8. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Itching · Fatigue or tiredness
    Adult check-in
  9. 2021-02-03
    Survey response — day 7, dose 1
    MedDRA: Axillary pain, Injection site erythema, Injection site pain — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness
    Free text: Ready and soreness on my arm at injection site. my arm pit hurts with no reason
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-10
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Injection site nodule, Injection site rash, Injection site warmth, Oedema peripheral, Pruritus — Feeling: Fair
    Free text: Extremely exhausted, my armpit glands got swollen for about 3 days and the injection site bubbled up and was hard and hot to the touch. Then I broke out in another rash on my arm and was itchy. The last 2 days have been better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-19
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Injection site swelling, Pyrexia, Rash — Feeling: Fair
    Free text: My arm broke out in another rash, then the injection site swelled again, this time, i got a fever and the next day i was exhausted but my arm went back to normal
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-24
    Dose 2 — Moderna
  13. 2021-02-24
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  14. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Renal pain — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work
    Free text: Extreme kidney pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  17. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  18. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-11
    Survey response — day 14, dose 2
    MedDRA: Diarrhoea — Feeling: Fair · Be unable to work
    Free text: Diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-27Moderna
22021-02-24Moderna

Free text

Release 3 — day 7, dose 1

2021-02-03

Systemic reaction (other): Ready and soreness on my arm at injection site. my arm pit hurts with no reason

Release 4 — day 14, dose 1

2021-02-10

Symptoms: Extremely exhausted, my armpit glands got swollen for about 3 days and the injection site bubbled up and was hard and hot to the touch. Then I broke out in another rash on my arm and was itchy. The last 2 days have been better.

Release 4 — day 21, dose 1

2021-02-19

Symptoms: My arm broke out in another rash, then the injection site swelled again, this time, i got a fever and the next day i was exhausted but my arm went back to normal

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): Dizzy

2021-02-27

Systemic reaction (other): Extreme kidney pain

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Diarrhea

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
SDDiarrhoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDInjection site nodule ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDOedema peripheral ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDRash ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRORenal pain ✓ ✓ ✓

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