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6WR-74006-45639

2 vaccinations 4 coded responses 24 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
126 / NY
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-18
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache
    Adult check-in
  6. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  9. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-25
    Survey response — day 7, dose 1
    MedDRA: Abdominal distension — Feeling: Fair
    Free text: A little bloating but nothing unusual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-01
    Survey response — day 14, dose 1
    MedDRA: Discomfort, Pruritus, Rash, Rash erythematous — Feeling: Fair
    Free text: One week after the shot I developed a red rash on the arm where I received the vaccine. It has gotten larger since then. It only causes very mild discomfort- occasional itching, but it has gotten larger, now covering over half of my upper arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-15
    Dose 2 — Moderna
  14. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  17. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Mental impairment — Feeling: Fair · Site: Redness, Itching · Headache, Abdominal pain
    Free text: Somewhat diminished mental clarity.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  20. 2021-04-29
    Survey response — day 14, dose 2
    MedDRA: Muscle spasms, Pain in extremity — Feeling: Good
    Free text: For about two days on and off I had a sharp pain on the top of my right foot, short of like muscle spasm, but sharply painful. But it has not happened in a couple of days, so I think it is over.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2022-04-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna

Free text

Release 6 — day 7, dose 1

2021-03-25

Systemic reaction (other): A little bloating but nothing unusual.

Release 6 — day 14, dose 1

2021-04-01

Symptoms: One week after the shot I developed a red rash on the arm where I received the vaccine. It has gotten larger since then. It only causes very mild discomfort- occasional itching, but it has gotten larger, now covering over half of my upper arm.

Release 7 — days 1–6 daily, dose 2

2021-04-19

Systemic reaction (other): Somewhat diminished mental clarity.

Release 8 — day 14, dose 2

2021-04-29

Symptoms: For about two days on and off I had a sharp pain on the top of my right foot, short of like muscle spasm, but sharply painful. But it has not happened in a couple of days, so I think it is over.

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
SDDiscomfort ✓ ✓ ✓
SDMuscle spasms ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SROAbdominal distension ✓ ✓ ✓
SROMental impairment ✓ ✓ ✓

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