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74W-82178-02612

2 vaccinations 2 coded responses 6 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
970 / OR
Registered
2021-01-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Dose 1 — Moderna
  2. 2021-01-15
    Registered in v-safe
  3. 2021-01-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Eye pain, Sinus pain — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: mild sinus pain, mild eye pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-19
    Dose 2 — Moderna
  7. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-02-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work
    Free text: Possible miscarriage
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Headache, Fatigue or tiredness, Nausea · Be unable to work
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-19Moderna

Free text

Release 2 — days 1–6 daily, dose 1

2021-01-15

Systemic reaction (other): mild sinus pain, mild eye pain

Release 4 — days 1–6 daily, dose 2

2021-02-22

Systemic reaction (other): Possible miscarriage

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
SROEye pain ✓ ✓ ✓
SROSinus pain ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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