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XXA-22345-54252

2 vaccinations 6 coded responses 26 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
222 / VA
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Survey response — 0 day, dose 1
    MedDRA: Dysgeusia — Feeling: Good · Site: Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Survey response — 7 day, dose 1
    MedDRA: Injection site pain, Pruritus — Feeling: Good · Site: Pain, Redness, Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-03-25
    Survey response — 14 day, dose 1
    MedDRA: Furuncle, Immunisation reaction, Injection site reaction, Lymphadenopathy, Pain in extremity, Rash, Rash pruritic — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  12. 2021-04-01
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-08
    Dose 2 — Moderna
  14. 2021-04-08
    Health check-in — 0 day, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  16. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  17. 2021-04-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Flushing — Feeling: Fair · Site: Pain, Redness, Itching · Headache, Fatigue or tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  18. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Itching · Headache · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  19. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  21. 2021-04-15
    Health check-in — 7 day, dose 2
    Feeling: Good · Site: Redness, Itching · Headache, Fatigue or tiredness
    Adult check-in
  22. 2021-04-22
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-29
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-06
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-13
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-05-20
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-07-08
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-10-07
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-04-09
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna

Free text

Release 5

Systemic reaction (other): Metallic taste in the mouth

Systemic reaction (other): Itchy painful spot on the forearm of the injected arm, same pain and itchy sensation as at the injection site

Release 6

Symptoms: On day 7 after the vaccination, developed Covid Arm - painful itchy rash at the injection site, a boil on the forearm and swollen lymph nodes on the same arm

Release 7

Systemic reaction (other): Rushes to the head

Systemic reaction (other): Painful swollen lymph nodes on the neck and in the armpit

Systemic reaction (other): Swollen lymph nodes in the neck and in the armpit

Free-text releases are not linked to a specific 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
SDFuruncle ✓ ✓ ✓
SDImmunisation reaction ✓ · ✓
SDInjection site reaction ✓ · ✓
SDLymphadenopathy ✓ ✓ ✓
SDPain in extremity ○ ✓ ○
SDRash ✓ · ✓
SDRash pruritic ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROFlushing ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROLymph node pain ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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