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Q6Y-17048-21191

2 vaccinations 3 coded responses 22 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
109 / NY
Registered
2021-04-01
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-04-01
    Registered in v-safe
  2. 2021-04-01
    Dose 1 — Moderna
  3. 2021-04-01
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  5. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-04-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Diarrhea
    Adult check-in
  9. 2021-04-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-08
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-29
    Dose 2 — Moderna
  14. 2021-04-29
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-05-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-05-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-05-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-05-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-20
    Survey response — day 21, dose 2
    MedDRA: Dizziness, Injection site pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Dizziness and light headed occasionally.Soreness at injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-27
    Survey response — day 28, dose 2
    MedDRA: Injection site pain, Pain, Pain in extremity — Feeling: Good
    Free text: Continued mild soreness at injection site, hurts slightly when moving the arm that injection was given into.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-06-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-29
    Survey response — 3 months, dose 2
    MedDRA: Dizziness, Pregnancy — Feeling: Good
    Free text: Light headed on occasion.Pregnant
    MedDRA releases: 2021-09,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-01Moderna
22021-04-29Moderna

Free text

Release 8 — day 21, dose 2

2021-05-20

Symptoms: Dizziness and light headed occasionally.Soreness at injection site.

Release 8 — day 28, dose 2

2021-05-27

Symptoms: Continued mild soreness at injection site, hurts slightly when moving the arm that injection was given into.

Release 9 — 3 months, dose 2

2021-07-29

Symptoms: Light headed on occasion.Pregnant

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
SDDizziness ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ○
SDPregnancy ✓ · ✓

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