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ZW8-30496-37287

2 vaccinations 5 coded responses 17 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
208 / MD
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-03-13
    Dose 2 — Moderna
  5. 2021-03-13
    Survey response — day 0, dose 2
    MedDRA: Chills, Immediate post-injection reaction — Feeling: Good
    Free text: maybe mild chills about 0.5 hours after injection, none now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good · Fever · Muscle or body aches
    Free text: small bruise at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Temperature of 100.1 and fatigue last night, after v-safe report. No fatigue today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus, Rash — Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Free text: Rash and itching were mostly last night, below injection site, also possibly 3/14 itched a little but didn't look at it
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site bruising — Feeling: Good
    Free text: Still bruised around 2nd injection site. Slight discoloration about 0.5mm diameter, possibly at 1st injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Fatigue or tiredness
    Adult check-in
  11. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-06-13
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2022-03-14
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna

Free text

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): maybe mild chills about 0.5 hours after injection, none now

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): small bruise at injection site

2021-03-15

Systemic reaction (other): Temperature of 100.1 and fatigue last night, after v-safe report. No fatigue today.

2021-03-16

Systemic reaction (other): Rash and itching were mostly last night, below injection site, also possibly 3/14 itched a little but didn't look at it

2021-03-17

Systemic reaction (other): Still bruised around 2nd injection site. Slight discoloration about 0.5mm diameter, possibly at 1st injection site.

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
SROBody temperature increased ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓

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