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8T9-75545-13999

3 vaccinations 3 coded responses 37 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
930 / CA
Registered
2021-01-14
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-14
    Registered in v-safe
  2. 2021-01-14
    Dose 1 — Moderna
  3. 2021-01-14
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  4. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-23
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-11
    Dose 2 — Moderna
  13. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  14. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  15. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  16. 2021-02-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-02-18
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-25
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-03-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-11
    Survey response — day 28, dose 2
    MedDRA: Injection site pruritus — Feeling: Good
    Free text: Some itchiness near the site of the injection. No redness or swelling.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-03-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-06
    Dose 3 — Moderna
    Co-administered: Flu
  28. 2021-11-08
    Survey response — days 1–6 daily, dose 3
    MedDRA: Axillary pain, Pain — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Armpit and collarbone soreness on the right side of the body (same side as the injection)
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Swollen lymph nodes
    MedDRA releases: 2024-11 · check-in free text available
  30. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-13
    Health check-in — day 7, dose 3
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  34. 2021-11-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-27
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-04
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-13
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-20
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-05
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-05-07
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-11-06
    Health check-in — 12 months, dose 3
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-14Moderna
22021-02-11Moderna
32021-11-06Moderna Flu

Free text

Release 5 — day 28, dose 2

2021-03-11

Symptoms: Some itchiness near the site of the injection. No redness or swelling.

Release 10 — days 1–6 daily, dose 3

2021-11-08

Systemic reaction (other): Armpit and collarbone soreness on the right side of the body (same side as the injection)

2021-11-09

Systemic reaction (other): Swollen lymph nodes

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 pruritus ✓ ✓ ✓
SROAxillary pain · · ✓
SROLymphadenopathy · · ✓
SROPain · · ✓

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

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