2Q5-33803-97513
5 vaccinations
7 coded responses
36 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 115 / NY
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-17
Registered in v-safe
- 2021-02-17
- 2021-02-19
-
2021-02-26
Dose 2 — Moderna
- 2021-02-26
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus — Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Itching around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Pruritus, Rash, Self-medication — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: The rash more pronounced than when I had it 16 days after my first shot which lasted 25-48 hours and since I did not sign up on this site was not able to report. This recent itching/rash started day 2 after my second shot and is much more pronounced at the onset.. now while still a bit swollen seems to be subsiding and actually looks like a cuff around my arm... still nothing I believe to be highly concerned about at this point. Ive used ice and a anti itch cream and also, made a cold paste with baking soda and applied. Will update at my next check inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pruritus — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: On and off itching, redness below the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
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2021-03-12
Survey response — day 14, dose 2MedDRA: Headache, Injection site rash, Rash — Feeling: FairFree text: Rash continued for approximately 8-10 days after 2nd dose and was not limited to the injection site it appeared on my other arm in two different places headaches on and off although been subsiding for the past 2 days headache could be sinus relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-27
- 2021-04-02
- 2021-04-09
- 2021-05-30
- 2021-08-27
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2021-11-23
Dose 3 — Moderna
- 2022-02-26
- 2022-02-26
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2022-06-18
Dose 4 — Moderna
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2022-06-29
Survey response — day 7, dose 4MedDRA: Asthenia — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activitiesFree text: WeakMedDRA releases: 2024-11 · check-in free text available
- 2022-07-02
- 2022-07-11
- 2022-09-17
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2022-10-17
Dose 5 — Moderna
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2022-10-18
Survey response — days 1–6 daily, dose 5MedDRA: Skin burning sensation — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Burning in my chest area under my skinMedDRA releases: 2024-11 · check-in free text available
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2022-10-19
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2022-10-21
- 2022-10-22
-
2022-10-23
Survey response — days 1–6 daily, dose 5MedDRA: Unevaluable event — Feeling: Fair · Site: Pain · Headache, Joint painsFree text: SinusesMedDRA releases: 2024-11 · check-in free text available
- 2022-10-24
- 2022-10-31
- 2022-11-09
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2023-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-06-18 | Moderna | No |
| 5 | 2022-10-17 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Itching around the injection site
Systemic reaction (other): The rash more pronounced than when I had it 16 days after my first shot which lasted 25-48 hours and since I did not sign up on this site was not able to report. This recent itching/rash started day 2 after my second shot and is much more pronounced at the onset.. now while still a bit swollen seems to be subsiding and actually looks like a cuff around my arm... still nothing I believe to be highly concerned about at this point. Ive used ice and a anti itch cream and also, made a cold paste with baking soda and applied. Will update at my next check in
Systemic reaction (other): On and off itching, redness below the injection site
Release 5 — day 14, dose 2
Symptoms: Rash continued for approximately 8-10 days after 2nd dose and was not limited to the injection site it appeared on my other arm in two different places headaches on and off although been subsiding for the past 2 days headache could be sinus related cut off by CDC
Release 12 — day 7, dose 4
Systemic reaction (other): Weak
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Burning in my chest area under my skin
Systemic reaction (other): Sinuses
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 | Headache | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release