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YQB-17555-29793

2 vaccinations 3 coded responses 19 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
120 / NY
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Moderna
  2. 2021-02-25
    Registered in v-safe
  3. 2021-02-25
    Survey response — day 7, dose 1
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Site: Redness
    Free text: 10 days after my first injection I developed a red itchy area about 10 by 1 at the area of the injection. This is day5. Its fading but still there
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-03-05
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-03-12
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-15
    Dose 2 — Moderna
  8. 2021-03-15
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  10. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  11. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Hyperhidrosis — Feeling: Good · Nausea
    Free text: This morning when I got out of bed I went into the bathroom. When I sat I experienced extreme diaphoresis and and Felt extremely faint. I considered calling 911. The experience was that severe. I just sat and the entire episode passed in about 10 minutes. I have never had an experience like this ever. Very quickly I gained my strength back and proceeded with my day. I have felt completely normal for the rest of this day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-03-15
    Survey response — 12 months, dose 2
    MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities
    Free text: Positive Covid test 1/3/2022
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-15Moderna

Free text

Release 4 — day 7, dose 1

2021-02-25

Systemic reaction (other): 10 days after my first injection I developed a red itchy area about 10 by 1 at the area of the injection. This is day5. Its fading but still there

Release 5 — days 1–6 daily, dose 2

2021-03-19

Systemic reaction (other): This morning when I got out of bed I went into the bathroom. When I sat I experienced extreme diaphoresis and and Felt extremely faint. I considered calling 911. The experience was that severe. I just sat and the entire episode passed in about 10 minutes. I have never had an experience like this ever. Very quickly I gained my strength back and proceeded with my day. I have felt completely normal for the rest of this day

Release 11 — 12 months, dose 2

2022-03-15

Symptoms: Positive Covid test 1/3/2022

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
SDSARS-CoV-2 test positive · · ✓
SRODizziness ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓

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