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M5C-64867-64388

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
605 / IL
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-17
    Registered in v-safe
  2. 2021-04-17
    Dose 1 — Moderna
  3. 2021-04-17
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pregnancy — Feeling: Fair · Nausea
    Free text: May be pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Nausea, Abdominal pain
    Free text: Might be pregnant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-05-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-15
    Dose 2 — Moderna
  12. 2021-05-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  13. 2021-05-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  14. 2021-05-22
    Survey response — day 7, dose 2
    MedDRA: Dermatitis contact — Feeling: Good · Muscle or body aches, Rash, not including the immediate area around the injection site
    Free text: Poison ivy rash
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-19
    Survey response — day 35, dose 2
    MedDRA: Pruritus, Rash, Urticaria — Feeling: Good
    Free text: Itchy rash on neck, hives every night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-08-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-11-13
    Survey response — 6 months, dose 2
    MedDRA: Menstruation irregular — Feeling: Good
    Free text: Menstrual cycle very short for 3-4 months
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-05-15
    Survey response — 12 months, dose 2
    MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school
    Free text: Sore throat, runny nose
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-17Moderna
22021-05-15Moderna

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): Dizziness

2021-04-21

Systemic reaction (other): May be pregnant

2021-04-22

Systemic reaction (other): Might be pregnant

Release 8 — day 7, dose 2

2021-05-22

Systemic reaction (other): Poison ivy rash

Release 9 — day 35, dose 2

2021-06-19

Symptoms: Itchy rash on neck, hives every night

Release 10 — 6 months, dose 2

2021-11-13

Symptoms: Menstrual cycle very short for 3-4 months

Release 11 — 12 months, dose 2

2022-05-15

Symptoms: Sore throat, runny nose

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
SDMenstruation irregular · · ✓
SDOropharyngeal pain · · ✓
SDPruritus ✓ ✓ ✓
SDRash ✓ ✓ ✓
SDRhinorrhoea · · ✓
SDUrticaria ✓ ✓ ✓
SRODermatitis contact ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROPregnancy ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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