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6XL-26585-32961

2 vaccinations 3 coded responses 22 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
395 / MS
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Survey response — day 0, dose 1
    MedDRA: Immediate post-injection reaction, Pruritus, Self-medication, Swelling face — Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness
    Free text: My face started swelling about twenty minutes after the shot, and I stated itching EVERYWHERE. I took Benadryl, and I seem to be fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pruritus, Pruritus, Swelling face — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Free text: I itch EVERYWHERE. My face keeps swelling. It's not bad, but I think I have a mild allergy to something. My eyeballs itch.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-18
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-01
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-08
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-15
    Dose 2 — Moderna
  12. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain, Redness, Itching · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  13. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Joint pains, Muscle or body aches
    Adult check-in
  15. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-27
    Survey response — day 42, dose 2
    MedDRA: COVID-19, Chills, Confusional state, Cough, Dyspnoea, Ear pain, Fatigue, Headache, Nasopharyngitis, Nausea, Oropharyngeal pain, Pain, Pyrexia, SARS-CoV-2 antibody test negative — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities
    Free text: Cough, shortness of breath, confusion, headache, fever, cold, sore throat, body aches, ear ache, nausea--all the symptoms of COVID-19, but I tested negative for it. My doctor diagnosed it as acute upper respiratory infection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-16
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-04-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

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

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): My face started swelling about twenty minutes after the shot, and I stated itching EVERYWHERE. I took Benadryl, and I seem to be fine.

Release 5 — days 1–6 daily, dose 1

2021-03-05

Systemic reaction (other): I itch EVERYWHERE. My face keeps swelling. It's not bad, but I think I have a mild allergy to something. My eyeballs itch.

Release 8 — day 42, dose 2

2021-05-27

Symptoms: Cough, shortness of breath, confusion, headache, fever, cold, sore throat, body aches, ear ache, nausea--all the symptoms of COVID-19, but I tested negative for it. My doctor diagnosed it as acute upper respiratory 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
SDChills ✓ ✓ ✓
SDConfusional state ✓ ✓ ✓
SDCough ✓ ✓ ✓
SDCOVID-19 ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SDSARS-CoV-2 antibody test negative ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSwelling face ✓ ✓ ✓

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