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6T9-32698-62645

4 vaccinations 6 coded responses 26 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
031 / NH
Registered
2021-04-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-05
    Dose 1 — Moderna
  2. 2021-04-06
    Registered in v-safe
  3. 2021-04-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: soreness at injection site - very localized
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Pre-existing disease — Feeling: Good · Headache
    Free text: Headache may be related to allergies. I get a lot of headaches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Headache · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-12
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-19
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema — Feeling: Good
    Free text: Red circle at injection site one week after vaccine (lasted for a couple of days); might have had a few blisters
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-04
    Dose 2 — Moderna
  13. 2021-05-04
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-05-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free text: I experienced moderate to severe pain at the injection site yesterday (my shot was at noon yesterday) and all night, but by morning it had abated and is only a bit sore today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair · Headache
    Free text: Headache may not be related to the vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Sinus headache — Feeling: Fair · Headache
    Free text: Possibly unrelated to vaccine; may be sinus headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-11
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-03
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-01-14
    Dose 3 — Moderna
  28. 2022-10-28
    Dose 4 — Moderna
  29. 2022-12-11
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  30. 2023-01-29
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2023-04-28
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna
22021-05-04Moderna
32022-01-14Moderna No
42022-10-28Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-06

Systemic reaction (other): soreness at injection site - very localized

2021-04-08

Systemic reaction (other): Headache may be related to allergies. I get a lot of headaches.

Release 7 — day 14, dose 1

2021-04-19

Symptoms: Red circle at injection site one week after vaccine (lasted for a couple of days); might have had a few blisters

Release 8 — days 1–6 daily, dose 2

2021-05-05

Systemic reaction (other): I experienced moderate to severe pain at the injection site yesterday (my shot was at noon yesterday) and all night, but by morning it had abated and is only a bit sore today.

2021-05-08

Systemic reaction (other): Headache may not be related to the vaccine

2021-05-10

Systemic reaction (other): Possibly unrelated to vaccine; may be sinus headache

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 ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSinus headache ✓ ✓ ✓

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

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