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XXZ-16574-50065

2 vaccinations 9 coded responses 18 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
117 / NY
Registered
2021-04-09
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-09
    Registered in v-safe
  2. 2021-04-09
    Dose 1 — Moderna
  3. 2021-04-09
    Health check-in — 0 day, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-04-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain, Injection site swelling, Insomnia, Pain — Feeling: Fair · Site: Pain, Swelling · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-04-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-04-16
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-23
    Health check-in — 14 day, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-30
    Survey response — 21 day, dose 1
    MedDRA: Fatigue — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  10. 2021-05-14
    Health check-in — 35 day, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-20
    Dose 2 — Moderna
  12. 2021-05-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-05-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-05-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain, Arthralgia, Chest discomfort, Cough, Fatigue, Head discomfort, Headache, Photophobia — Feeling: Fair · Site: Pain · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  15. 2021-05-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pruritus, Hypersensitivity, Nasal congestion, Pre-existing disease, Pruritus, Rash, Respiratory tract congestion, Throat irritation — Feeling: Fair · Site: Pain · Headache, Rash, not including the immediate area around the injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  16. 2021-06-04
    Survey response — 14 day, dose 2
    MedDRA: Fatigue — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  17. 2021-06-10
    Survey response — 21 day, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  18. 2021-06-19
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-06-24
    Survey response — 35 day, dose 2
    MedDRA: Fatigue — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  20. 2021-07-01
    Survey response — 42 day, dose 2
    MedDRA: Fatigue, Somnolence — Feeling: Fair
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  21. 2021-08-22
    Survey response — 3 month, dose 2
    MedDRA: Fatigue — Feeling: Good
    MedDRA releases: 2021-09,2024-11 · check-in answers available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-09Moderna
22021-05-20Moderna

Free text

Release 7

Systemic reaction (other): I've had some swelling in my arm and tenderness that inhibited my ability to. Reach up for hold things. It also affected my sleep making it hard to turn without pain which would wake me up at night. Today swelling is decreased, pain is milder, ability to move his improved.

Release 8

Symptoms: Very tired all week but starting to improve today.

Systemic reaction (other): Missed yesterday's check in continued headache mod. Joint pain abdominal pain mild extremely tired light sensitivity moderate, today my headache is milder but still feel pressure in my head and my chest feels heavy at times and I also had a very persistent cough from Friday night till last night. Cough is less frequent. Mostly on exertion. I have to rest frequently throughout the day from fatigue, head pressure, and chest pressure with breathing..

Systemic reaction (other): Notice a rash around my neck upper chest and ears, throat nose and arms beginning to itch, chest feels congested more than having allergy attack, eyes very itchy, nose is congested, I've been indoors started from this evening progressing.

Symptoms: Very tired but can function throughout the day.

Release 9

Symptoms: Just very tired. Have to rest a lot.

Symptoms: Tires easily. Must rest frequently.

Symptoms: Very tired most of the day, take frequent rest periods to get thought the day.

Symptoms: Nothing new just tiredness

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
SDFatigue ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SROAbdominal pain ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROChest discomfort ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROEye pruritus ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROHypersensitivity ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPhotophobia ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROSneezing ○ ○ ○
SROThroat irritation ✓ ✓ ✓

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