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SRZ-16403-48598

2 vaccinations 3 coded responses 10 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
052 / VT
Registered
2021-05-11
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-12
    Dose 1 — Moderna
  2. 2021-05-10
    Dose 2 — Moderna
  3. 2021-05-11
    Registered in v-safe
  4. 2021-05-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspepsia, Pain in extremity — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Free text: heartburn, sore legs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  6. 2021-05-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Cough, Malaise, Sneezing — Feeling: Good
    Free text: I have had soreness in my sternum since Tuesday, the day after my vaccine, when I was feeling very sick. I sneezed or coughed a few times and have had this chest soreness since then.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-24
    Survey response — day 14, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: I have a small rash on my knee, not sure what it is.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-05-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-06-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-06-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-06-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-08-12
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-11-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-12Moderna
22021-05-10Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-11

Systemic reaction (other): heartburn, sore legs

2021-05-15

Systemic reaction (other): I have had soreness in my sternum since Tuesday, the day after my vaccine, when I was feeling very sick. I sneezed or coughed a few times and have had this chest soreness since then.

Release 8 — day 14, dose 2

2021-05-24

Symptoms: I have a small rash on my knee, not sure what it is.

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
SDRash ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODyspepsia ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSneezing ✓ ✓ ✓

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