2G4-25050-27902
5 vaccinations
4 coded responses
67 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 144 / NY
- Registered
- 2021-04-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-02
Dose 1 — Moderna
-
2021-04-03
Registered in v-safe
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
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2021-04-16
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: FairFree text: On day 10 after receiving the vaccine I developed a red, somewhat itchy and warm to the touch rash at injection site, today is day 14 and it seems to be bigger and more swollen measures 7x 6MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-23
-
2021-04-30
Dose 2 — Moderna
- 2021-04-30
-
2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-05-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Abdominal painAdult check-in
- 2021-05-05
- 2021-05-06
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-06
- 2021-06-11
- 2021-07-31
- 2021-10-30
-
2021-11-20
Dose 3 — Moderna
- 2021-11-21
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling · HeadacheAdult check-in
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-11-25
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-26
- 2021-11-27
- 2021-12-04
-
2021-12-11
Survey response — day 21, dose 3MedDRA: Pre-existing disease, Psoriasis, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: I do notice after each shot my psoriasis flares up. It is no doubt due to the vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-18
- 2021-12-27
- 2022-01-01
-
2022-02-19
Survey response — 3 months, dose 3MedDRA: Conjunctival haemorrhage — Feeling: GoodFree text: I had sub conjunctival hemorrhage and I know three others who had it as well and the only thing we had in common was the vaccine. I'm wondering if it was relatedMedDRA releases: 2024-11 · check-in free text available
-
2022-04-22
Dose 4 — Moderna
- 2022-04-22
- 2022-04-23
-
2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-05-27
- 2022-06-03
-
2022-07-23
Survey response — 3 months, dose 4MedDRA: Arthralgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Ankle painMedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
-
2022-10-22
Dose 5 — Moderna
- 2022-10-22
-
2022-10-23
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-24
- 2022-10-25
-
2022-10-26
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Redness · Fatigue or tiredness, Abdominal painAdult check-in
-
2022-10-27
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2022-10-28
- 2022-10-29
- 2022-11-05
- 2022-11-14
- 2022-11-19
- 2022-11-28
- 2022-12-03
- 2023-01-23
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-02 | Moderna | |
| 2 | 2021-04-30 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
| 4 | 2022-04-22 | Moderna | No |
| 5 | 2022-10-22 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: On day 10 after receiving the vaccine I developed a red, somewhat itchy and warm to the touch rash at injection site, today is day 14 and it seems to be bigger and more swollen measures 7x 6
Release 10 — day 21, dose 3
Symptoms: I do notice after each shot my psoriasis flares up. It is no doubt due to the vaccine.
Release 11 — 3 months, dose 3
Symptoms: I had sub conjunctival hemorrhage and I know three others who had it as well and the only thing we had in common was the vaccine. I'm wondering if it was related
Release 12 — 3 months, dose 4
Symptoms: Ankle pain
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 | Conjunctival haemorrhage | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Psoriasis | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release