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RYZ-27645-72461

4 vaccinations 4 coded responses 18 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
481 / MI
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Dose 2 — Moderna
  4. 2021-02-25
    Survey response — day 0, dose 2
    MedDRA: Irritability — Feeling: Good
    Free text: Mild Irritability
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-11-06
    Dose 3 — Moderna
    Co-administered: Flu
  11. 2022-02-25
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  12. 2022-12-03
    Dose 4 — Moderna
  13. 2022-12-04
    Survey response — days 1–6 daily, dose 4
    MedDRA: Chills, Loss of consciousness, Nausea, Syncope — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: I fainted/lost consciousness as a result of the chills and nausea 16 hours after injection
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-12-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  15. 2022-12-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  16. 2022-12-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  17. 2022-12-10
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  18. 2022-12-17
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  19. 2022-12-31
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  20. 2023-01-07
    Survey response — day 35, dose 4
    MedDRA: Back pain, Headache, Oropharyngeal pain, Unevaluable event — Feeling: Good · Be unable to work or attend school
    MedDRA releases: 2024-11
  21. 2023-01-16
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  22. 2023-03-05
    Survey response — 3 months, dose 4
    MedDRA: Abortion spontaneous — Feeling: Good · Be unable to work or attend school
    MedDRA releases: 2024-11
  23. 2023-06-05
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-11-06Moderna Flu
42022-12-03Moderna No

Free text

Release 4 — day 0, dose 2

2021-02-25

Systemic reaction (other): Mild Irritability

Release 12 — days 1–6 daily, dose 4

2022-12-04

Systemic reaction (other): I fainted/lost consciousness as a result of the chills and nausea 16 hours after injection

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
SDAbortion spontaneous · · ✓
SDBack pain · · ✓
SDHeadache · · ✓
SDOropharyngeal pain · · ✓
SDUnevaluable event · · ✓
SROChills · · ✓
SROIrritability ✓ ✓ ✓
SROLoss of consciousness · · ✓
SRONausea · · ✓
SROSyncope · · ✓

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