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Z74-19794-58366

3 vaccinations 5 coded responses 32 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
206 / MD
Registered
2021-03-11
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Health check-in — day 0, dose 1
    Feeling: Fair · Chills, Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness
    Adult check-in
  5. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Headache
    Free text: I did have a low grade fever of 99.4 yesterday evening after submitting my survey
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Slightly tired this morning. By noon I was good to go.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-27
    Survey response — day 14, dose 1
    MedDRA: Lymphadenopathy, Rash macular — Feeling: Fair
    Free text: Last check in was 3/18. Next day i got a red bullseye circle, red blotches inside and out my right arm. Swollen lymph nodes underneath my right arm.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-02
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-07
    Dose 2 — Moderna
  14. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  18. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-05
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-07-12
    Survey response — 3 months, dose 2
    MedDRA: Influenza — Feeling: Fair
    Free text: I contracted the flu from my oldest son.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-11-15
    Dose 3 — Moderna
  24. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  25. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  26. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Swelling · None
    Adult check-in
  27. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-22
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  30. 2021-11-29
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-12-07
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  32. 2021-12-13
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  33. 2021-12-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  34. 2021-12-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-02-17
    Survey response — 3 months, dose 3
    MedDRA: Epistaxis, Respiratory tract congestion, Sinus disorder, Sneezing — Feeling: Good
    Free text: Bad sinus problems. Sneezing, congestion, bloody nose. I think its the dryness in the air.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2022-05-16
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-07Moderna
32021-11-15Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): I did have a low grade fever of 99.4 yesterday evening after submitting my survey

2021-03-15

Systemic reaction (other): Slightly tired this morning. By noon I was good to go.

Release 6 — day 14, dose 1

2021-03-27

Symptoms: Last check in was 3/18. Next day i got a red bullseye circle, red blotches inside and out my right arm. Swollen lymph nodes underneath my right arm.

Release 9 — 3 months, dose 2

2021-07-12

Symptoms: I contracted the flu from my oldest son.

Release 11 — 3 months, dose 3

2022-02-17

Symptoms: Bad sinus problems. Sneezing, congestion, bloody nose. I think its the dryness in the air.

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
SDEpistaxis · · ✓
SDInfluenza ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSinus disorder · · ✓
SDSneezing · · ✓
SROFatigue ✓ ✓ ✓
SROPyrexia ○ ○ ○
SROUnevaluable event ✓ ✓ ✓

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