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RCR-30506-32703

3 vaccinations 3 coded responses 37 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
934 / CA
Registered
2020-12-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Registered in v-safe
  2. 2020-12-30
    Dose 1 — Moderna
  3. 2020-12-30
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-01-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Good · Site: Pain · Headache
    Free text: Left side headache from day 1
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-27
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-01-28
    Dose 2 — Moderna
  15. 2021-01-28
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: Rash all of upper left arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash erythematous, Rash papular — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain
    Free text: Raised red rash from shoulder to elbow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  19. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Fatigue or tiredness
    Adult check-in
  20. 2021-02-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-02-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-02-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-07-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-01-21
    Dose 3 — Moderna
  30. 2022-01-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  31. 2022-01-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · None
    Adult check-in
  32. 2022-01-24
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Joint pains
    Adult check-in
  33. 2022-01-27
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2022-01-28
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2022-02-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2022-02-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  37. 2022-02-18
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-02-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-03-04
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-04-22
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-07-24
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-28Moderna
32022-01-21Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-01

Systemic reaction (other): Left side headache from day 1

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Rash all of upper left arm

2021-01-30

Systemic reaction (other): Raised red rash from shoulder to elbow

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
SROHeadache ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SRORash papular ✓ ✓ ✓

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

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