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PSQ-27006-10962

2 vaccinations 4 coded responses 16 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
945 / CA
Registered
2021-03-30
Relationship
Self
Race
N/A
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-30
    Registered in v-safe
  2. 2021-03-30
    Dose 1 — Moderna
  3. 2021-03-30
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain
    Adult check-in
  5. 2021-04-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  6. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Axillary pain, Oedema peripheral — Feeling: Good · Site: Pain, Swelling
    Free text: My armpit on the side of my injection site is swollen and hurts
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Peripheral swelling — Feeling: Good · Site: Swelling
    Free text: Armpit still swollen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Swelling · None
    Adult check-in
  9. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-27
    Dose 2 — Moderna
  14. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-05-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-04
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  18. 2021-05-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-18
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Moderna
22021-04-27Moderna

Free text

Release 6 — day 0, dose 1

2021-03-30

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 1

2021-04-02

Systemic reaction (other): My armpit on the side of my injection site is swollen and hurts

2021-04-03

Systemic reaction (other): Armpit still swollen

Release 8 — day 21, dose 2

2021-05-18

Symptoms: Headaches

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
SDHeadache ✓ ✓ ✓
SROAxillary pain ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOedema peripheral ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓

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

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