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Y3L-10219-08952

2 vaccinations 5 coded responses 23 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
300 / GA
Registered
2021-05-26
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-05-26
    Registered in v-safe
  2. 2021-05-26
    Dose 1 — Moderna
  3. 2021-05-26
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-05-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Abdominal pain upper, Fatigue, Nausea, Vomiting — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities
    Free text: The vomiting was the 1st night. The nausea/stomach pains and fatigue were for 2 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-05-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-05-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-05-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  8. 2021-06-02
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-06-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-06-16
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-06-24
    Dose 2 — Moderna
  12. 2021-06-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dysgeusia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities
    Free text: Water from tap, filtered fridge, and bottled tasted very sweet, like someone put a teaspoon of sugar in it. This lasted for 2 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-06-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Nausea, Abdominal pain
    Adult check-in
  15. 2021-06-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Good · Site: Pain · Headache
    Free text: Mild cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  17. 2021-06-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-07-01
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-07-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-15
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-07-22
    Survey response — day 28, dose 2
    MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Fair
    Free text: At the injection site, it is red, itchy theres a small raised bump and its a little bit tender when touched.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2021-07-29
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-08-05
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-23
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2021-12-23
    Survey response — 6 months, dose 2
    MedDRA: COVID-19, Cough — Feeling: Fair
    Free text: I've had a cough ever since I've had Covid. It's minor but I didn't have it before.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-06-29
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-05-26Moderna
22021-06-24Moderna No

Free text

Release 8 — days 1–6 daily, dose 1

2021-05-28

Systemic reaction (other): The vomiting was the 1st night. The nausea/stomach pains and fatigue were for 2 days.

Release 9 — days 1–6 daily, dose 2

2021-06-25

Systemic reaction (other): Water from tap, filtered fridge, and bottled tasted very sweet, like someone put a teaspoon of sugar in it. This lasted for 2 hours.

2021-06-28

Systemic reaction (other): Mild cough

Release 9 — day 28, dose 2

2021-07-22

Symptoms: At the injection site, it is red, itchy theres a small raised bump and its a little bit tender when touched.

Release 10 — 6 months, dose 2

2021-12-23

Symptoms: I've had a cough ever since I've had Covid. It's minor but I didn't have it before.

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
SDCough · · ✓
SDCOVID-19 · · ✓
SDInjection site erythema · · ✓
SDInjection site pain · · ✓
SDInjection site pruritus · · ✓
SDInjection site swelling · · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODysgeusia ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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