2AS-22687-57223
4 vaccinations
9 coded responses
39 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 530 / WI
- Registered
- 2021-02-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QC3-83954-95726
Child or adolescent in my care · Male · 2021-11-14
VWJ-15921-12637
Child or adolescent in my care · Female · 2021-11-14
Timeline
-
2021-02-10
Registered in v-safe
-
2021-02-10
Dose 1 — Moderna
- 2021-02-10
- 2021-02-11
-
2021-02-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Arm soreness at injx site has always been "mild" but today is significantly improved from yesterday and is minimalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-18
-
2021-02-24
Survey response — day 14, dose 1MedDRA: Arthralgia, Hypoaesthesia, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Good · Be unable to do your normal daily activitiesFree text: Acute onset of redness, swelling, itching, tenderness, warmth at injection site on day #7 after vaccine. Accompanied by arm numbness and shoulder aching. Progressed over course of 36 hours then slowly resolved with only mild redness present today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
-
2021-03-10
Dose 2 — Moderna
- 2021-03-10
-
2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Hyperhidrosis, Pallor, Syncope — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Feeling faint and getting pale and sweaty whenever I stand upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Vertigo — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: VertigoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-17
Survey response — day 7, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Redness · FeverFree text: Injection site feels warmMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-22
- 2021-06-09
- 2021-09-08
-
2021-10-07
Dose 3 — Moderna
- 2022-01-07
-
2022-04-07
Survey response — 6 months, dose 3MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: GoodFree text: Nasal congestion, sore throatMedDRA releases: 2024-11 · check-in free text available
-
2022-09-16
Dose 4 — Moderna
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2022-09-17
Survey response — days 1–6 daily, dose 4MedDRA: Presyncope — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pre syncopal whenever I stand upMedDRA releases: 2024-11 · check-in free text available
-
2022-09-18
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-09-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-09-20
Survey response — days 1–6 daily, dose 4MedDRA: Intermenstrual bleeding — Feeling: Good · Site: Pain, RednessFree text: Had some light menstrual spotting 2 d ago lasting a day, not part of my regular cycleMedDRA releases: 2024-11 · check-in free text available
- 2022-09-21
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-16
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2022-10-21
Survey response — day 35, dose 4MedDRA: Headache — Feeling: FairFree text: Headache today, similar to headaches I have had in past.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-28
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-10 | Moderna | |
| 2 | 2021-03-10 | Moderna | |
| 3 | 2021-10-07 | Moderna | No |
| 4 | 2022-09-16 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Arm soreness at injx site has always been "mild" but today is significantly improved from yesterday and is minimal
Release 4 — day 14, dose 1
Symptoms: Acute onset of redness, swelling, itching, tenderness, warmth at injection site on day #7 after vaccine. Accompanied by arm numbness and shoulder aching. Progressed over course of 36 hours then slowly resolved with only mild redness present today.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Feeling faint and getting pale and sweaty whenever I stand up
Systemic reaction (other): Vertigo
Release 5 — day 7, dose 2
Systemic reaction (other): Injection site feels warm
Release 11 — 6 months, dose 3
Symptoms: Nasal congestion, sore throat
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Pre syncopal whenever I stand up
Systemic reaction (other): Had some light menstrual spotting 2 d ago lasting a day, not part of my regular cycle
Release 12 — day 35, dose 4
Symptoms: Headache today, similar to headaches I have had in past.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Intermenstrual bleeding | · | · | ✓ |
| SRO | Pallor | ✓ | ✓ | ✓ |
| SRO | Presyncope | · | · | ✓ |
| SRO | Syncope | ✓ | ✓ | ✓ |
| SRO | Vertigo | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release