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6QU-29727-16812

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
191 / PA
Registered
2021-01-25
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Registered in v-safe
  2. 2021-01-25
    Dose 1 — Moderna
  3. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Chills, Headache
    Adult check-in
  6. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pruritus — Feeling: Good · Site: Itching
    Free text: Forgot to report itching on forearm of injection arm first 2 days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-08
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-02-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-22
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-23
    Dose 2 — Moderna
  14. 2021-02-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Nausea
    Adult check-in
  16. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Forgot to report the day after I took the stairs (something I do several times a day) and was extremely short of breath. It subsided afterwards and never returned.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-03-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-03-09
    Survey response — day 14, dose 2
    MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activities
    Free text: Thursday 03-04-21, 5pm, felt faint. Head began to tilt to the left and eyes felt like they were about to close with moderate dizziness. Subsided after 5 seconds. Happens again on Monday, 03-08-21, 8pm but only felt dizzy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-18
    Survey response — day 21, dose 2
    MedDRA: Urinary tract infection — Feeling: Good · Be unable to do your normal daily activities
    Free text: Urinate Tract infection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-02-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-23Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Forgot to report itching on forearm of injection arm first 2 days

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): Forgot to report the day after I took the stairs (something I do several times a day) and was extremely short of breath. It subsided afterwards and never returned.

Release 5 — day 14, dose 2

2021-03-09

Symptoms: Thursday 03-04-21, 5pm, felt faint. Head began to tilt to the left and eyes felt like they were about to close with moderate dizziness. Subsided after 5 seconds. Happens again on Monday, 03-08-21, 8pm but only felt dizzy.

Release 5 — day 21, dose 2

2021-03-18

Symptoms: Urinate Tract infection

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
SDDizziness ✓ ✓ ✓
SDUrinary tract infection ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓

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