2AE-10439-91787
4 vaccinations
6 coded responses
34 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 980 / WA
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
-
2021-03-02
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Injected arm began itching 8 days post injection. After four days the itching abruptly stopped. No problems since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
-
2021-03-16
Survey response — day 0, dose 2MedDRA: Rhinorrhoea, Seasonal allergy — Feeling: GoodFree text: Pollen allergy symptoms, runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Eye pruritus, Rhinorrhoea, Self-medication — Feeling: Good · Site: Redness, ItchingFree text: Pollen allergies, runny nose, itchy eyes. Taking antihistamines.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain, ItchingFree text: Taking antihistamines for pollen allergiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-23
-
2021-03-30
Survey response — day 14, dose 2MedDRA: Seasonal allergy, Self-medication — Feeling: GoodFree text: Pollen allergies have been awful this past week. Treated with OTC medications.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-11-04
Dose 3 — Moderna
- 2022-03-16
-
2022-05-05
Survey response — 6 months, dose 3MedDRA: Cough, Nasal congestion, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: GoodFree text: Positive COVID-19 test sore throat dry cough no fever or chills stuffy noseMedDRA releases: 2024-11 · check-in free text available
-
2022-05-12
Dose 4 — Moderna
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-12
- 2022-11-10
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: Injected arm began itching 8 days post injection. After four days the itching abruptly stopped. No problems since.
Release 5 — day 0, dose 2
Systemic reaction (other): Pollen allergy symptoms, runny nose
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Pollen allergies, runny nose, itchy eyes. Taking antihistamines.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Taking antihistamines for pollen allergies
Release 6 — day 14, dose 2
Symptoms: Pollen allergies have been awful this past week. Treated with OTC medications.
Release 11 — 6 months, dose 3
Symptoms: Positive COVID-19 test sore throat dry cough no fever or chills stuffy nose
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 |
|---|---|---|---|---|
| SD | Cough | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Seasonal allergy | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Eye pruritus | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Seasonal allergy | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release