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XJD-31318-93683

3 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
31-35
ZIP prefix
452 / OH
Registered
2021-01-22
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-01-22
    Registered in v-safe
  2. 2021-01-22
    Dose 1 — Moderna
  3. 2021-01-22
    Survey response — day 0, dose 1
    MedDRA: Feeling hot, Flushing — Feeling: Good · Site: Pain · Fever
    Free text: Marked facial flushing and face feeling warm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing — Feeling: Fair · Site: Pain · Headache
    Free text: Flushing this am around 0200
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Facial flushing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Flushing, Oropharyngeal pain — Feeling: Fair · Fever · Headache, Fatigue or tiredness
    Free text: Sore throat and facial flushing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-01-29
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness, Abdominal pain
    Adult check-in
  10. 2021-02-05
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-02-19
    Dose 2 — Moderna
  13. 2021-02-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-03-05
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  15. 2021-03-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-21
    Survey response — 3 months, dose 2
    MedDRA: Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Periods of intermittent dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-08-20
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  21. 2021-12-06
    Dose 3 — Moderna
  22. 2022-02-19
    Survey response — 12 months, dose 2
    MedDRA: Pregnancy — Feeling: Fair
    Free text: Pregnancy
    MedDRA releases: 2024-11 · check-in free text available
  23. 2022-06-06
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  24. 2022-12-08
    Survey response — 12 months, dose 3
    MedDRA: Ear pain, Headache, Pregnancy, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Pregnancy. Currently congested, ear pain headache
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-19Moderna
32021-12-06Moderna No

Free text

Release 2 — day 0, dose 1

2021-01-22

Systemic reaction (other): Marked facial flushing and face feeling warm

Release 2 — days 1–6 daily, dose 1

2021-01-23

Systemic reaction (other): Flushing this am around 0200

2021-01-25

Systemic reaction (other): Facial flushing

2021-01-26

Systemic reaction (other): Sore throat and facial flushing

Release 8 — 3 months, dose 2

2021-05-21

Symptoms: Periods of intermittent dizziness.

Release 11 — 12 months, dose 2

2022-02-19

Symptoms: Pregnancy

Release 12 — 12 months, dose 3

2022-12-08

Symptoms: Pregnancy. Currently congested, ear pain headache

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
SDDizziness ✓ ✓ ✓
SDEar pain · · ✓
SDHeadache · · ✓
SDPregnancy · · ✓
SDRespiratory tract congestion · · ✓
SROFeeling hot ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓

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