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X89-10516-04997

3 vaccinations 3 coded responses 29 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
972 / OR
Registered
2021-06-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-06-01
    Registered in v-safe
  2. 2021-06-01
    Dose 1 — Moderna
  3. 2021-06-01
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-06-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  5. 2021-06-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · None
    Adult check-in
  6. 2021-06-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  7. 2021-06-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site bruising — Feeling: Fair
    Free text: Bruise at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-06-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · None
    Adult check-in
  9. 2021-06-08
    Health check-in — day 7, dose 1
    Feeling: Fair · None
    Adult check-in
  10. 2021-06-15
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-06-22
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-06-29
    Dose 2 — Moderna
  13. 2021-07-13
    Survey response — day 14, dose 2
    MedDRA: Injection site erythema, Injection site pain, Injection site swelling — Feeling: Fair
    Free text: Redness, swelling, and pain at injection site. Redness expanded to a large circle on arm and didnt go away for over a week
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-07-20
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-07-29
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-08-03
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-08-10
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  18. 2021-09-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-12-29
    Dose 3 — Pfizer-BioNTech
  20. 2021-12-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-12-29
    Health check-in — day 0, dose 3
    Feeling: Good · Fatigue or tiredness, Nausea
    Adult check-in
  22. 2021-12-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  23. 2022-01-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  24. 2022-01-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  25. 2022-01-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  26. 2022-01-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2022-01-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2022-01-14
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-01-26
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  30. 2022-02-02
    Survey response — day 35, dose 3
    MedDRA: COVID-19 — Feeling: Poor · Be unable to work or attend school
    Free text: Covid positive
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-02-09
    Health check-in — day 42, dose 3
    Feeling: Fair
    Adult check-in
  32. 2022-03-30
    Health check-in — 3 months, dose 3
    Feeling: Fair
    Adult check-in
  33. 2022-06-29
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-06-01Moderna
22021-06-29Moderna No
32021-12-29Pfizer-BioNTech No

Free text

Release 8 — days 1–6 daily, dose 1

2021-06-06

Systemic reaction (other): Bruise at injection site

Release 9 — day 14, dose 2

2021-07-13

Symptoms: Redness, swelling, and pain at injection site. Redness expanded to a large circle on arm and didnt go away for over a week

Release 11 — day 35, dose 3

2022-02-02

Symptoms: Covid positive

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
SDCOVID-19 · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓

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

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