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Y7P-32544-18941

2 vaccinations 4 coded responses 25 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
553 / MN
Registered
2021-04-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-23
    Registered in v-safe
  2. 2021-04-23
    Dose 1 — Moderna
  3. 2021-04-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-04-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  5. 2021-04-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  6. 2021-04-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-04-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Skin discolouration — Feeling: Good
    Free text: Redish-Blue spot below skin of hand where blood has been drawn several months prior. This occurred over the last 2 days, has cleared up by now, and seemed like an interesting situation to note. Other times this had occurred prior to receiving the vaccine was in February 2021.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-30
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-05-07
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-05-21
    Dose 2 — Moderna
  13. 2021-05-21
    Health check-in — day 0, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  14. 2021-05-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dry skin, Ephelides — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: Blood red freckles are something I noticed in the last month or so on my arms. Due to obesity, I havent checked for them all over my body. I can see them on my arms in areas that face outward, instead of the tender inside of the arm. This seems to be something that started within the last month or two. There is no bleeding or pain, just a startling bright red color the size of a diameter of a mechanical pencil lead or a 1-1.5 mm diameter, best guess. My skin is fair colored and it is also somewhat dry. Some areas, which is possibly unrelated, look like a tiny round fleck of skin came off. This is just an observation, but not a big concern.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-05-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-05-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  18. 2021-05-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Brain fog, Neuropathy peripheral, Pain, Paraesthesia — Feeling: Poor · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: Brain fog and neuropathy (tingling pain) in both feet and toes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  20. 2021-05-28
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  21. 2021-06-04
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-06-11
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  23. 2021-06-18
    Health check-in — day 28, dose 2
    Feeling: Fair
    Adult check-in
  24. 2021-06-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-02
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-08-20
    Survey response — 3 months, dose 2
    MedDRA: Cough, Dizziness, Dyspnoea, Fatigue, Hot flush, Upper-airway cough syndrome, Vision blurred — Feeling: Fair
    Free text: Shortness of breath, fatigue, post nasal drip and light cough; dizziness; eyes out of focus; hot flash; experienced after mostly-outdoor vacationing and travel in state, some time spent in businesses/hotel/restaurants.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  27. 2021-11-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2022-05-22
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-23Moderna
22021-05-21Moderna

Free text

Release 8 — days 1–6 daily, dose 1

2021-04-29

Systemic reaction (other): Redish-Blue spot below skin of hand where blood has been drawn several months prior. This occurred over the last 2 days, has cleared up by now, and seemed like an interesting situation to note. Other times this had occurred prior to receiving the vaccine was in February 2021.

Release 8 — days 1–6 daily, dose 2

2021-05-22

Systemic reaction (other): Blood red freckles are something I noticed in the last month or so on my arms. Due to obesity, I havent checked for them all over my body. I can see them on my arms in areas that face outward, instead of the tender inside of the arm. This seems to be something that started within the last month or two. There is no bleeding or pain, just a startling bright red color the size of a diameter of a mechanical pencil lead or a 1-1.5 mm diameter, best guess. My skin is fair colored and it is also somewhat dry. Some areas, which is possibly unrelated, look like a tiny round fleck of skin came off. This is just an observation, but not a big concern.

2021-05-26

Systemic reaction (other): Brain fog and neuropathy (tingling pain) in both feet and toes.

Release 9 — 3 months, dose 2

2021-08-20

Symptoms: Shortness of breath, fatigue, post nasal drip and light cough; dizziness; eyes out of focus; hot flash; experienced after mostly-outdoor vacationing and travel in state, some time spent in businesses/hotel/restaurants.

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 ✓ · ✓
SDDizziness ✓ · ✓
SDDyspnoea ✓ · ✓
SDFatigue ✓ · ✓
SDHot flush ✓ · ✓
SDUpper-airway cough syndrome ✓ · ✓
SDVision blurred ✓ · ✓
SROBrain fog ✓ ✓ ✓
SRODry skin ✓ ✓ ✓
SROEphelides ✓ ✓ ✓
SRONeuropathy peripheral ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROSkin discolouration ✓ ✓ ✓

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