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ZG6-38489-64976

3 vaccinations 4 coded responses 31 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
959 / CA
Registered
2021-01-20
Relationship
Self
Race
White
Ethnicity
N/A

Timeline

  1. 2021-01-20
    Registered in v-safe
  2. 2021-01-20
    Dose 1 — Moderna
  3. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  4. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · Joint pains, Muscle or body aches
    Adult check-in
  5. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness · Muscle or body aches
    Adult check-in
  6. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-27
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-03
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Erythema, Injection site erythema, Injection site pruritus, Injection site swelling, Myalgia, Urticaria — Feeling: Good
    Free text: A red, very itchy 2.5x1.75 inch spot developed at the injection site. Raised, swollen. Still redish and slightly itchy. Also unusual, 2 welts appeared on my face, red, angry, now subsided. Joint and muscle pain increased too but is slowly improving.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-10
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-17
    Dose 2 — Moderna
  12. 2021-02-17
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches
    Adult check-in
  13. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · Fever · Joint pains, Muscle or body aches
    Adult check-in
  14. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-02-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  17. 2021-02-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-03-10
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-17
    Survey response — day 28, dose 2
    MedDRA: Rash — Feeling: Good
    Free text: A couple unusual eruptions on the skin of my face again appeared 3 weeks after my vaccination. Usually one spot appears, very inflamed and raised for about 3-4 days followed my another which lasts the same length of time and repeated again.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-31
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-19
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-08
    Dose 3 — Moderna
  25. 2021-10-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  26. 2021-10-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  27. 2021-10-15
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-10-22
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-10-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  30. 2021-11-05
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  31. 2021-11-12
    Survey response — day 35, dose 3
    MedDRA: Chills, Cough, Diarrhoea, Nasal congestion, Pyrexia, Respiratory tract congestion, Rhinorrhoea — Feeling: Good
    Free text: Cough, chest and nasal congestion, diarrhea, nasal discharge, feverish/chills
    MedDRA releases: 2024-11 · check-in free text available
  32. 2021-11-19
    Survey response — day 42, dose 3
    MedDRA: Cough, Myalgia, Pain, Respiratory tract congestion, Sinus congestion — Feeling: Fair
    Free text: Chest congestion, cough, sinus congestion, body aches, muscle aches
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-01-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  34. 2022-04-08
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  35. 2022-10-10
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-20Moderna
22021-02-17Moderna
32021-10-08Moderna No

Free text

Release 3 — day 14, dose 1

2021-02-03

Symptoms: A red, very itchy 2.5x1.75 inch spot developed at the injection site. Raised, swollen. Still redish and slightly itchy. Also unusual, 2 welts appeared on my face, red, angry, now subsided. Joint and muscle pain increased too but is slowly improving. cut off by CDC

Release 5 — day 28, dose 2

2021-03-17

Symptoms: A couple unusual eruptions on the skin of my face again appeared 3 weeks after my vaccination. Usually one spot appears, very inflamed and raised for about 3-4 days followed my another which lasts the same length of time and repeated again.

Release 10 — day 35, dose 3

2021-11-12

Symptoms: Cough, chest and nasal congestion, diarrhea, nasal discharge, feverish/chills

Release 10 — day 42, dose 3

2021-11-19

Symptoms: Chest congestion, cough, sinus congestion, body aches, muscle aches

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
SDArthralgia ✓ ✓ ✓
SDChills · · ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDErythema ✓ ✓ ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNasal congestion · · ✓
SDPain · · ✓
SDPyrexia · · ✓
SDRash ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDRhinorrhoea · · ✓
SDSinus congestion · · ✓
SDUrticaria ✓ ✓ ✓

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