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6S3-23490-12650

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
131 / NY
Registered
2021-04-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-19
    Registered in v-safe
  2. 2021-04-19
    Dose 1 — Moderna
  3. 2021-04-19
    Survey response — day 0, dose 1
    MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Itchy spots but they don't last long
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, Diarrhea
    Free text: Severe diarrhea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-28
    Survey response — day 7, dose 1
    MedDRA: Injection site urticaria, Vaccination site pain, Vaccination site pruritus, Vaccination site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Free text: Exactly a week from vaccination. Monday morning my arm where vaccine was started itching. Later Monday night a big welt appeared that was very hot and sore. The welt was gone by the following Wednesday.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-05-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-17
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-24
    Dose 2 — Moderna
  12. 2021-05-24
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  13. 2021-05-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activities
    Free text: cold chills half the night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  15. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  16. 2021-05-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hypoaesthesia, Paraesthesia — Feeling: Good
    Free text: I keep getting a weird numbness, tingling sensation going uo my left side that lasts anywhere from 5-20 minutes. It's happened 4 times since my 1st vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-31
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-06-07
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-14
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-21
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-28
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-08-23
    Survey response — 3 months, dose 2
    MedDRA: Dyspnoea — Feeling: Good · Be unable to do your normal daily activities
    Free text: It seems like i get out of breath easier than before. To do the simplest thing and I'm out of breath on some days but other days are good.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  26. 2021-11-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-19Moderna
22021-05-24Moderna

Free text

Release 7 — day 0, dose 1

2021-04-19

Systemic reaction (other): Itchy spots but they don't last long

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Severe diarrhea

Release 8 — day 7, dose 1

2021-04-28

Systemic reaction (other): Exactly a week from vaccination. Monday morning my arm where vaccine was started itching. Later Monday night a big welt appeared that was very hot and sore. The welt was gone by the following Wednesday.

Release 8 — days 1–6 daily, dose 2

2021-05-25

Systemic reaction (other): cold chills half the night

2021-05-30

Systemic reaction (other): I keep getting a weird numbness, tingling sensation going uo my left side that lasts anywhere from 5-20 minutes. It's happened 4 times since my 1st vaccine.

Release 9 — 3 months, dose 2

2021-08-23

Symptoms: It seems like i get out of breath easier than before. To do the simplest thing and I'm out of breath on some days but other days are good.

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
SDDyspnoea ✓ · ✓
SROChills ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROInjection site urticaria ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROVaccination site pain ✓ ✓ ✓
SROVaccination site pruritus ✓ ✓ ✓
SROVaccination site warmth ✓ ✓ ✓

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