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Z57-16292-17217

2 vaccinations 5 coded responses 27 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
786 / TX
Registered
2021-01-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Moderna
  3. 2021-01-29
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-01-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-02-12
    Survey response — day 14, dose 1
    MedDRA: Burning sensation, Erythema, Injection site erythema, Lymph node pain, Lymphadenopathy, Office visit, Pain, Pruritus, Skin infection, Specialist consultation — Feeling: Good
    Free text: I had to go to the doctor. I got a skin infection and doctor gave me penicillin. Red spot at injection site on the 8th day started to grow and creeping down and under my arm. Itching and stinging/burning. After 4 days on meds /resolved. Lymph node in
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-26
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-27
    Dose 2 — Moderna
  15. 2021-02-27
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Itching · Headache
    Adult check-in
  16. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  18. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Dizziness — Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Soreness under right arm Injection was in right arm. A bit dizzy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Vision blurred — Feeling: Good
    Free text: A little trouble focusing my eyes befor 9:30 am then it was gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Good
    Free text: Sweating more than usual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-06
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  23. 2021-03-13
    Survey response — day 14, dose 2
    MedDRA: Cough, Dyspepsia, Gastrooesophageal reflux disease — Feeling: Good
    Free text: GERD started 3/8/2021 and am still experiencing heartburn with dry cough
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-04-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-05-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  30. 2022-02-28
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-27Moderna

Free text

Release 4 — day 14, dose 1

2021-02-12

Symptoms: I had to go to the doctor. I got a skin infection and doctor gave me penicillin. Red spot at injection site on the 8th day started to grow and creeping down and under my arm. Itching and stinging/burning. After 4 days on meds /resolved. Lymph node in cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-03-02

Systemic reaction (other): Soreness under right arm Injection was in right arm. A bit dizzy.

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): A little trouble focusing my eyes befor 9:30 am then it was gone.

2021-03-05

Systemic reaction (other): Sweating more than usual

Release 5 — day 14, dose 2

2021-03-13

Symptoms: GERD started 3/8/2021 and am still experiencing heartburn with dry cough

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
SDBurning sensation ✓ · ✓
SDCough ✓ ✓ ✓
SDDyspepsia ✓ ✓ ✓
SDErythema ✓ · ✓
SDGastrooesophageal reflux disease ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDLymph node pain ○ ✓ ○
SDLymphadenopathy ✓ · ✓
SDOffice visit ✓ · ✓
SDPain ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSkin infection ✓ ✓ ✓
SDSpecialist consultation ○ ✓ ○
SROAxillary pain ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROVision blurred ✓ ✓ ✓

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