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XKK-24366-85155

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
953 / CA
Registered
2021-08-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-08-13
    Dose 1 — Moderna
  2. 2021-08-17
    Registered in v-safe
  3. 2021-08-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-08-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  5. 2021-08-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Ear discomfort, Ocular discomfort — Feeling: Fair · Headache
    Free text: Pressure in ears and behind eyes
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  6. 2021-08-20
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-08-27
    Survey response — day 14, dose 1
    MedDRA: Muscle spasms, Pregnancy, Spider vein — Feeling: Good
    Free text: Since vaccination I have developed leg cramps and spider veins in my left leg. I am pregnant and am suspicious of a potential blood clot.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  8. 2021-09-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-09-10
    Dose 2 — Moderna
  10. 2021-09-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-09-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Lymphadenopathy, Myalgia, Vision blurred — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Very swollen lymph node near injection sight. Excruciating muscle pain from neck to hip. Blurry vision in eye on the same side as injection. Bad headache.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-09-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Muscle or body aches
    Adult check-in
  13. 2021-09-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tiredness
    Adult check-in
  14. 2021-09-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  15. 2021-09-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  16. 2021-09-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-09-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-09-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-02
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-12-10
    Health check-in — 3 months, dose 2
    Feeling: Poor
    Adult check-in
  24. 2022-03-11
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2022-09-10
    Survey response — 12 months, dose 2
    MedDRA: COVID-19 — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I have covid currently.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-08-13Moderna No
22021-09-10Moderna No

Free text

Release 9 — days 1–6 daily, dose 1

2021-08-19

Systemic reaction (other): Pressure in ears and behind eyes

Release 9 — day 14, dose 1

2021-08-27

Symptoms: Since vaccination I have developed leg cramps and spider veins in my left leg. I am pregnant and am suspicious of a potential blood clot.

Release 9 — days 1–6 daily, dose 2

2021-09-11

Systemic reaction (other): Very swollen lymph node near injection sight. Excruciating muscle pain from neck to hip. Blurry vision in eye on the same side as injection. Bad headache.

Release 12 — 12 months, dose 2

2022-09-10

Symptoms: I have covid currently.

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 · · ✓
SDMuscle spasms ✓ · ✓
SDPregnancy ✓ · ✓
SDSpider vein ✓ · ✓
SROEar discomfort ✓ · ✓
SROHeadache · · ✓
SROLymphadenopathy · · ✓
SROMyalgia · · ✓
SROOcular discomfort ✓ · ✓
SROVision blurred · · ✓

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