2ET-21265-88196
5 vaccinations
6 coded responses
40 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 142 / NY
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-02-13
Registered in v-safe
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2021-02-13
Survey response — day 7, dose 1MedDRA: Pyrexia — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: I did have a fever of 99.4 within 8hours of receiving the vaccine on the 6thMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-20
-
2021-02-28
Survey response — day 21, dose 1MedDRA: Erythema, Peripheral swelling, Pruritus, Self-medication — Feeling: GoodFree text: Dont know if related or not On both arms in the inner crook/bend area some what intense itching and redness with some swelling for 3-4 days. Condition improved with Benadryl ointment applied twice a day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Dose 2 — Moderna
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2021-03-06
Survey response — day 0, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: So far just a headache received the shot at 1030 am this morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · HeadacheAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
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2021-03-13
Survey response — day 7, dose 2MedDRA: Erythema, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Inner bend area of each arm red and itchyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-04
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2021-11-16
Dose 3 — Moderna
- 2022-03-07
-
2022-04-20
Dose 4 — Moderna
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2022-05-03
Survey response — day 7, dose 4MedDRA: Erythema, Pain in extremity — Feeling: GoodFree text: On both days of the actual boosters I experienced bad arm pain and a circle red spot symptoms went away 2-4 days laterMedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-22
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2022-10-01
Dose 5 — ModernaCo-administered: Flu
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2022-10-01
Survey response — day 0, dose 5MedDRA: Unevaluable event — Feeling: GoodFree text: So far a anyway git both vaccines at 3 pm today 10/01/22MedDRA releases: 2024-11 · check-in free text available
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2022-10-02
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Chills, HeadacheAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-08
- 2022-10-15
- 2022-10-23
- 2022-10-29
- 2022-11-05
- 2022-11-12
- 2022-12-31
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-10-01 | Moderna | Flu |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): I did have a fever of 99.4 within 8hours of receiving the vaccine on the 6th
Release 4 — day 21, dose 1
Symptoms: Dont know if related or not On both arms in the inner crook/bend area some what intense itching and redness with some swelling for 3-4 days. Condition improved with Benadryl ointment applied twice a day.
Release 5 — day 0, dose 2
Systemic reaction (other): So far just a headache received the shot at 1030 am this morning
Release 5 — day 7, dose 2
Systemic reaction (other): Inner bend area of each arm red and itchy
Release 11 — day 7, dose 4
Systemic reaction (other): On both days of the actual boosters I experienced bad arm pain and a circle red spot symptoms went away 2-4 days later
Release 12 — day 0, dose 5
Systemic reaction (other): So far a anyway git both vaccines at 3 pm today 10/01/22
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release