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JQH-35458-77332

3 vaccinations 5 coded responses 11 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
996 / AK
Registered
2021-11-03
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-02-18
    Dose 2 — Moderna
  3. 2021-11-03
    Registered in v-safe
  4. 2021-11-03
    Dose 3 — Moderna
  5. 2021-11-03
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  7. 2021-11-05
    Survey response — days 1–6 daily, dose 3
    MedDRA: Lymphadenopathy, Peripheral swelling — Feeling: Good · Site: Pain
    Free text: Underarm lymph node swelling on same side as injection and hand swelling on same side as injection.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Oedema peripheral — Feeling: Good
    Free text: Swelling of my underarm on same side as injection.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2021-11-10
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  11. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  12. 2021-12-15
    Survey response — day 42, dose 3
    MedDRA: Dizziness, Vertigo — Feeling: Fair
    Free text: I had an episode of dizziness and room spinning for about an hour on Monday 12/13. Not due to lack of food or water.
    MedDRA releases: 2024-11 · check-in free text available
  13. 2022-02-02
    Survey response — 3 months, dose 3
    MedDRA: COVID-19, Fatigue, Productive cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I have COVIDnot too bad: congestion, fatigue, productive cough
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-05-06
    Survey response — 6 months, dose 3
    MedDRA: Chest pain — Feeling: Fair
    Free text: I've been having some pains in my chest area. Almost feels like heart burn, except I don't have heart burn.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-11-03
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna No
22021-02-18Moderna No
32021-11-03Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-11-05

Systemic reaction (other): Underarm lymph node swelling on same side as injection and hand swelling on same side as injection.

2021-11-06

Systemic reaction (other): Swelling of my underarm on same side as injection.

Release 10 — day 42, dose 3

2021-12-15

Symptoms: I had an episode of dizziness and room spinning for about an hour on Monday 12/13. Not due to lack of food or water.

Release 11 — 3 months, dose 3

2022-02-02

Symptoms: I have COVIDnot too bad: congestion, fatigue, productive cough

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: I've been having some pains in my chest area. Almost feels like heart burn, except I don't have heart burn.

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
SDChest pain · · ✓
SDCOVID-19 · · ✓
SDDizziness · · ✓
SDFatigue · · ✓
SDProductive cough · · ✓
SDRespiratory tract congestion · · ✓
SDVertigo · · ✓
SROLymphadenopathy · · ✓
SROOedema peripheral · · ✓
SROPeripheral swelling · · ✓

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