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XY3-28030-36695

4 vaccinations 5 coded responses 21 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
088 / NJ
Registered
2021-01-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-13
    Registered in v-safe
  3. 2021-01-14
    Health check-in — 7 day, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-21
    Survey response — 14 day, dose 1
    MedDRA: Rash pruritic — Feeling: Good
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  5. 2021-01-28
    Health check-in — 21 day, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-04
    Dose 2 — Moderna
  7. 2021-02-04
    Health check-in — 0 day, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-02-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain — Feeling: Good · Site: Pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  9. 2021-02-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction, Sleep disorder — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  11. 2021-02-08
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pain, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Redness, Itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  12. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Toothache — Feeling: Good · Headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
  14. 2021-02-11
    Health check-in — 7 day, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-02-18
    Health check-in — 14 day, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-02-25
    Health check-in — 21 day, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-04
    Health check-in — 28 day, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-03-11
    Health check-in — 35 day, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-19
    Health check-in — 42 day, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-06
    Health check-in — 3 month, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-05
    Health check-in — 6 month, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-12-14
    Dose 3 — Moderna
  23. 2022-02-04
    Health check-in — 12 month, dose 2
    Feeling: Good
    Adult check-in
  24. 2022-05-10
    Dose 4 — Moderna
  25. 2022-08-09
    Health check-in — 3 month, dose 4
    Feeling: Good
    Adult check-in
  26. 2023-05-10
    Health check-in — 12 month, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna
22021-02-04Moderna
32021-12-14Moderna No
42022-05-10Moderna No

Free text

Release 2

Symptoms: On day 9 I developed an itchy rash in a capsule shape about 4 long by 2 wide. Its went away in 2 1/2 days without incident or treatment. (Around injection site)

Release 3

Systemic reaction (other): Was aching during the night then it stopped in the morning

Systemic reaction (other): Symptoms are passing. Only mentioned it in case it was helpful. During night I couldnt sleep on that side. Its Improved

Systemic reaction (other): The arm pain included stinging .Improved with Tylenol.

Release 4

Systemic reaction (other): I believe it could be from a toothache Ive had off & on for a few days. Have appt on Friday

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
SDRash pruritic ✓ ✓ ✓
SROAdverse reaction · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROToothache ✓ ✓ ✓

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