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Z45-13082-93936

1 vaccination 7 coded responses 9 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
970 / OR
Registered
2021-01-08
Relationship
Self

Timeline

  1. 2021-01-07
    Dose 1 — Moderna
  2. 2021-01-08
    Registered in v-safe
  3. 2021-01-08
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hyperaesthesia — Feeling: Fair · Site: Pain · Chills, Muscle or body aches
    Free text: Skin sensitivity on the right side of my body from belly button, around my right side stopping at spine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sensitive skin — Feeling: Good · Site: Pain · Headache
    Free text: Skin sensitivity on the right side of my abdomen around to my spine, shot was in my right arm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sensitive skin — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Free text: Skin sensitivity to the right side of ABDOMEN around to mid spine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sensitive skin — Feeling: Good · Fatigue or tiredness
    Free text: Skin sensitivity ABDOMEN right side around back to spine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sensitive skin — Feeling: Fair · Headache
    Free text: Skin sensitivity to right side of abdomen
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sensitive skin — Feeling: Fair · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Skin sensitivity to abdomen right side around to spine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-14
    Survey response — day 7, dose 1
    MedDRA: Skin sensitisation — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free text: Skin sensitivity to abdomen right side around to spine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-23
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-29
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-07Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2021-01-08

Systemic reaction (other): Skin sensitivity on the right side of my body from belly button, around my right side stopping at spine

2021-01-09

Systemic reaction (other): Skin sensitivity on the right side of my abdomen around to my spine, shot was in my right arm

2021-01-10

Systemic reaction (other): Skin sensitivity to the right side of ABDOMEN around to mid spine

2021-01-11

Systemic reaction (other): Skin sensitivity ABDOMEN right side around back to spine

2021-01-12

Systemic reaction (other): Skin sensitivity to right side of abdomen

2021-01-13

Systemic reaction (other): Skin sensitivity to abdomen right side around to spine

Release 2 — day 7, dose 1

2021-01-14

Systemic reaction (other): Skin sensitivity to abdomen right side around to spine

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
SROHyperaesthesia ✓ ✓ ✓
SROSensitive skin ✓ ✓ ✓
SROSkin sensitisation ✓ ✓ ✓

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