293-32701-33777
4 vaccinations
6 coded responses
40 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 379 / TN
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Dose 1 — Moderna
-
2021-03-18
Registered in v-safe
- 2021-03-18
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-14
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-10-31
Dose 3 — Moderna
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, NauseaAdult check-in
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Injection site induration — Feeling: Fair · Site: Redness, Swelling, ItchingFree text: injection site since eve of injection is large and rock solidMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site swelling — Feeling: Fair · Site: Redness, Swelling, ItchingFree text: the red swollen itchy patch at injection site is a large lump and still rock hard lpMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site induration, Injection site mass, Injection site pruritus, Injection site swelling — Feeling: Good · Site: Redness, Swelling, ItchingFree text: redness at site is a little less today, 11/4/21, itching is less, large swollen rock solid lump has softened just a bit, but still solidMedDRA releases: 2024-11 · check-in free text available
-
2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Induration, Mass, Pruritus — Feeling: Good · Site: Redness, SwellingFree text: redness is less, hard lump is softening, itching is goneMedDRA releases: 2024-11 · check-in free text available
-
2021-11-07
Survey response — day 7, dose 3MedDRA: Erythema, Induration, Mass, Pain, Swelling — Feeling: Good · Site: RednessFree text: pain swelling hard lump completely gone. the only thing left is a little rednessMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2021-12-12
- 2022-01-31
-
2022-04-10
Dose 4 — Moderna
-
2022-04-19
Survey response — day 7, dose 4MedDRA: Chills, Injection site pain — Feeling: GoodFree text: arm pain at site on injection day and 2 days after. chills on injection day and following. all subsided by 3rd day in the afternoonMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-05-22
- 2022-07-10
- 2022-10-11
- 2023-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-04-10 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): injection site since eve of injection is large and rock solid
Systemic reaction (other): the red swollen itchy patch at injection site is a large lump and still rock hard lp
Systemic reaction (other): redness at site is a little less today, 11/4/21, itching is less, large swollen rock solid lump has softened just a bit, but still solid
Systemic reaction (other): redness is less, hard lump is softening, itching is gone
Release 10 — day 7, dose 3
Systemic reaction (other): pain swelling hard lump completely gone. the only thing left is a little redness
Release 11 — day 7, dose 4
Systemic reaction (other): arm pain at site on injection day and 2 days after. chills on injection day and following. all subsided by 3rd day in the afternoon
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Chills | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Induration | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Mass | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release