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Y8N-99104-15884

2 vaccinations 6 coded responses 22 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
297 / SC
Registered
2021-03-05
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Moderna
  3. 2021-03-05
    Survey response — day 0, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: Only where I got shot that part a little bit pain and sour
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Site: Pain
    Free text: I am sorry for missing yesterdays report! My personal case was: I felt more pain at the night of the first day and the second day. ( but only the arm where got shot) the second day when I hand up that arm, I could feel pain that part. But the third day, much better. Almost not feel pain today!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Pruritus — Feeling: Good · Site: Itching
    Free text: The arm where I got shot I do not feel pain anymore today, but I feel a little bit itching. Like a mosquito bite.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Blister — Feeling: Good
    Free text: It seems I got a little blister on one side of my tongue. Not pain, but not that comfortable. (right side)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-12
    Survey response — day 7, dose 1
    MedDRA: Pruritus — Feeling: Good · Site: Itching
    Free text: a little itching
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-20
    Survey response — day 14, dose 1
    MedDRA: Erythema, Pruritus — Feeling: Fair
    Free text: The arm where I got shot, one week later I felt the itch and became some redness. It started from March 12 to March 16. From March 17, it was better
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-26
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-07-26
    Dose 2 — Moderna
  13. 2021-07-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school
    Adult check-in
  14. 2021-07-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  15. 2021-07-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  16. 2021-07-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-07-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-08-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-08-02
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-08-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-08-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-08-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2022-01-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-07-26Moderna No

Free text

Release 5 — day 0, dose 1

2021-03-05

Systemic reaction (other): Only where I got shot that part a little bit pain and sour

Release 5 — days 1–6 daily, dose 1

2021-03-07

Systemic reaction (other): I am sorry for missing yesterdays report! My personal case was: I felt more pain at the night of the first day and the second day. ( but only the arm where got shot) the second day when I hand up that arm, I could feel pain that part. But the third day, much better. Almost not feel pain today!

2021-03-08

Systemic reaction (other): The arm where I got shot I do not feel pain anymore today, but I feel a little bit itching. Like a mosquito bite.

2021-03-11

Systemic reaction (other): It seems I got a little blister on one side of my tongue. Not pain, but not that comfortable. (right side)

Release 5 — day 7, dose 1

2021-03-12

Systemic reaction (other): a little itching

Release 6 — day 14, dose 1

2021-03-20

Symptoms: The arm where I got shot, one week later I felt the itch and became some redness. It started from March 12 to March 16. From March 17, it was better

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
SDErythema ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SROBlister ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPruritus ✓ ✓ ✓

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

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