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6XP-52589-29292

2 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
921 / CA
Registered
2021-03-08
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-06
    Dose 1 — Moderna
  2. 2021-03-08
    Registered in v-safe
  3. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Lymphadenitis — Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection site
    Free text: Lymph nodes inflamated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypersensitivity, Rhinorrhoea — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Allergies, runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-13
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-03-27
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-03
    Dose 2 — Moderna
  10. 2021-04-03
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  12. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Good · Site: Pain · Chills, Headache, Fatigue or tiredness
    Free text: dissiness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · None
    Adult check-in
  14. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Chills, Headache, Rash, not including the immediate area around the injection site
    Adult check-in
  15. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  16. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  17. 2021-04-10
    Health check-in — day 7, dose 2
    Feeling: Good · Rash, not including the immediate area around the injection site
    Adult check-in
  18. 2021-04-17
    Survey response — day 14, dose 2
    MedDRA: Hyperaesthesia teeth — Feeling: Good
    Free text: Very sensitive teeth, I dont know if it is realated but it has never been like this
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-24
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-15
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-04
    Survey response — 3 months, dose 2
    MedDRA: Adverse reaction, Histamine abnormal, Pain of skin, Rash, Temperature intolerance, Urticaria — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Rashes, like hives, histamine, very intense and non stop for five weeks. Like allergies around all my body. It was worsening with light pressure and heat. It is getting slowly less severe, but I never had anything like that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-10-02
    Survey response — 6 months, dose 2
    MedDRA: Menstruation irregular — Feeling: Good
    Free text: My period stopped for four months, now it is back
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-06Moderna
22021-04-03Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-08

Systemic reaction (other): Lymph nodes inflamated

2021-03-10

Systemic reaction (other): Runny nose

2021-03-12

Systemic reaction (other): Allergies, runny nose

Release 6 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): dissiness

Release 7 — day 14, dose 2

2021-04-17

Symptoms: Very sensitive teeth, I dont know if it is realated but it has never been like this

Release 9 — 3 months, dose 2

2021-07-04

Symptoms: Rashes, like hives, histamine, very intense and non stop for five weeks. Like allergies around all my body. It was worsening with light pressure and heat. It is getting slowly less severe, but I never had anything like that.

Release 9 — 6 months, dose 2

2021-10-02

Symptoms: My period stopped for four months, now it is back

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
SDAdverse reaction · · ✓
SDHistamine abnormal ✓ ✓ ○
SDHyperaesthesia teeth ✓ ✓ ✓
SDMenstruation irregular · · ✓
SDPain of skin · · ✓
SDRash ✓ ✓ ○
SDTemperature intolerance · · ✓
SDUrticaria ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROLymphadenitis ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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