2XZ-17584-54574
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 053 / VT
- Registered
- 2021-05-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-12
Dose 1 — Moderna
-
2021-05-21
Registered in v-safe
- 2021-05-21
-
2021-05-28
Survey response — day 14, dose 1MedDRA: Breast tenderness, Feeling hot, Immunisation reaction, Peripheral swelling, Rash — Feeling: GoodFree text: Did end up with COVID arm (Maderna Arm) almost a week later. Arm was warm to the touch, rash and swollen. Tender to the touch. Lasted for a week. Today it is better - only a small rash above the elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
-
2021-06-09
Dose 2 — Moderna
- 2021-06-09
-
2021-06-16
Survey response — day 7, dose 2MedDRA: Dizziness, Immunisation reaction, Pyrexia, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Felt dizzy and light-headed at first. Symptoms progresses to also include fever of 103. Developed COVID arm in both arms. First shot in left arm appeared six days after shot and lasted a week. Second shot in right arm appeared on 2nd day after shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-23
- 2021-06-30
- 2021-07-07
- 2021-07-14
- 2021-07-23
- 2021-09-09
- 2021-12-09
- 2022-06-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-12 | Moderna | |
| 2 | 2021-06-09 | Moderna |
Free text
Release 8 — day 14, dose 1
Symptoms: Did end up with COVID arm (Maderna Arm) almost a week later. Arm was warm to the touch, rash and swollen. Tender to the touch. Lasted for a week. Today it is better - only a small rash above the elbow.
Release 9 — day 7, dose 2
Systemic reaction (other): Felt dizzy and light-headed at first. Symptoms progresses to also include fever of 103. Developed COVID arm in both arms. First shot in left arm appeared six days after shot and lasted a week. Second shot in right arm appeared on 2nd day after shot. cut off by CDC
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 | Breast tenderness | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release