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GH4-34092-34119

4 vaccinations 9 coded responses 41 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
060 / CT
Registered
2021-04-05
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino
Registered dependents
24K-32294-49560 Child or adolescent in my care · Male · 2021-11-14

Timeline

  1. 2021-04-05
    Registered in v-safe
  2. 2021-04-07
    Dose 1 — Moderna
  3. 2021-04-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: I have a big, visible bruise at the injection site and can feel a hematoma. There is a tiny bit of redness with the bruise, too.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Injection site haematoma — Feeling: Good · Site: Pain, Swelling
    Free text: Still have a bruise and hematoma at the injection site. No other issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Site: Pain, Swelling
    Free text: Still black and blue. Only pain if I touch the bruise. Still a red dot where the needle went in. This is nothing. Doing great after the first shot!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising, Injection site erythema — Feeling: Good · Site: Redness
    Free text: Still have a big bruise at the injection site along with redness where the needle entered. Its no longer painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Bruise still present. No pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-04-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-21
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-05
    Dose 2 — Moderna
  13. 2021-05-05
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  14. 2021-05-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-05-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  16. 2021-05-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-13
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-19
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-26
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-02
    Survey response — day 28, dose 2
    MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Poor
    Free text: Stuffy nose and sore throat.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-09
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-06-16
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-06
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-11-13
    Dose 3 — Moderna
  29. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  30. 2021-11-15
    Survey response — days 1–6 daily, dose 3
    MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tiredness, Nausea
    Free text: Elevated body temp. Was 99.5 when I woke and is currently at 99.6.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-16
    Survey response — days 1–6 daily, dose 3
    MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Elevated body temp. 99.4 at wake up. 99.7 when I checked a couple of hours ago.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-17
    Survey response — days 1–6 daily, dose 3
    MedDRA: Body temperature increased — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Body temp still elevated but falling. 99.2 when I woke up.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-11-20
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  36. 2021-11-27
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-04
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-11
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-18
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  40. 2021-12-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-02-12
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-05-15
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  43. 2022-09-07
    Dose 4 — Moderna
  44. 2022-10-14
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  45. 2022-10-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  46. 2022-12-09
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-07Moderna
22021-05-05Moderna
32021-11-13Moderna No
42022-09-07Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-08

Systemic reaction (other): I have a big, visible bruise at the injection site and can feel a hematoma. There is a tiny bit of redness with the bruise, too.

2021-04-09

Systemic reaction (other): Still have a bruise and hematoma at the injection site. No other issues.

2021-04-10

Systemic reaction (other): Still black and blue. Only pain if I touch the bruise. Still a red dot where the needle went in. This is nothing. Doing great after the first shot!

2021-04-11

Systemic reaction (other): Still have a big bruise at the injection site along with redness where the needle entered. Its no longer painful.

2021-04-12

Systemic reaction (other): Bruise still present. No pain.

Release 8 — day 28, dose 2

2021-06-02

Symptoms: Stuffy nose and sore throat.

Release 10 — days 1–6 daily, dose 3

2021-11-15

Systemic reaction (other): Elevated body temp. Was 99.5 when I woke and is currently at 99.6.

2021-11-16

Systemic reaction (other): Elevated body temp. 99.4 at wake up. 99.7 when I checked a couple of hours ago.

2021-11-17

Systemic reaction (other): Body temp still elevated but falling. 99.2 when I woke up.

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
SDNasal congestion ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SROBody temperature increased · · ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site haematoma ✓ ✓ ✓

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

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