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W7K-32474-63537

4 vaccinations 7 coded responses 23 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
731 / OK
Registered
2021-01-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-06
    Registered in v-safe
  3. 2021-01-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-01-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-09
    Survey response — day 7, dose 1
    MedDRA: Paraesthesia — Feeling: Good · Site: Pain, Redness, Itching · Joint pains
    Free text: Tingling of arm and hand that had the injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-24
    Survey response — day 21, dose 1
    MedDRA: Lymphadenopathy — Feeling: Good
    Free text: Lymphadenopathy midaxillary on arm that was vaccinated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-28
    Dose 2 — Moderna
  9. 2021-01-29
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Free text: Pain under arm and lymph node in arm pit
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rash — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches
    Free text: Rash over arm and lymph nodes axillary and neck region on affected side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness
    Free text: Supraclavicular lymph node and axillary lymph node on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  13. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-02-06
    Survey response — day 7, dose 2
    MedDRA: Breast feeding, Rash neonatal — Feeling: Good · Site: Itching
    Free text: Rash that was transient in breastfed infant
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-02-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-31
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-12-28
    Dose 3 — Moderna
  23. 2022-09-19
    Dose 4 — Moderna
  24. 2022-09-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  25. 2022-09-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  26. 2022-09-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  27. 2022-09-26
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  28. 2022-10-05
    Survey response — day 14, dose 4
    MedDRA: Blepharospasm, Respiratory tract congestion — Feeling: Good
    Free text: Eye twitching x 1 week Mild congestion last day
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-28Moderna
32021-12-28Moderna No
42022-09-19Moderna No

Free text

Release 1 — day 7, dose 1

2021-01-09

Systemic reaction (other): Tingling of arm and hand that had the injection

Release 2 — day 21, dose 1

2021-01-24

Symptoms: Lymphadenopathy midaxillary on arm that was vaccinated

Release 3 — days 1–6 daily, dose 2

2021-01-29

Systemic reaction (other): Pain under arm and lymph node in arm pit

2021-01-30

Systemic reaction (other): Rash over arm and lymph nodes axillary and neck region on affected side

2021-01-31

Systemic reaction (other): Supraclavicular lymph node and axillary lymph node on side of injection

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): Rash that was transient in breastfed infant

Release 12 — day 14, dose 4

2022-10-05

Symptoms: Eye twitching x 1 week Mild congestion last day

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
SDBlepharospasm · · ✓
SDLymphadenopathy ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SROAxillary pain ✓ ✓ ✓
SROBreast feeding ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash neonatal ○ ✓ ○
SROUnevaluable event ✓ ✓ ✓

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