34U-26846-86601
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 900 / CA
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-01-30
Registered in v-safe
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2021-01-30
Survey response — day 7, dose 1MedDRA: Injection site bruising, Injection site pain, Injection site reaction, Musculoskeletal stiffness, Rash erythematous, Rash pruritic — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: A red, slightly itchy rash appeared on Day 8 at the injection site, accompanied by soreness (like a bruise) and stiffness in the area, approx. 3" in diameter (irregular shaped). I took photos. Applied Caladryl at night. Starting to subside on Day 9 (today), but still visible and slightly itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-11
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2021-02-18
Dose 2 — Moderna
- 2021-02-18
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2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Insomnia, Pyrexia, Vomiting — Feeling: Poor · Site: Pain · Fever · Chills, Vomiting · Be unable to work, Be unable to do your normal daily activitiesFree text: Only threw up a couple of times at one occurrence, in the middle of the night. Couldnt sleep. Mild fever and chills didnt start till middle of the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site rash — Feeling: Fair · Site: Pain, RednessFree text: Red, non-itchy rash adjacent to injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site rash — Feeling: GoodFree text: Remnants of rash at injection site remain. Second red area near injection site on arm now gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — day 7, dose 2MedDRA: Injection site rash — Feeling: GoodFree text: Just a rash residue at site of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-21
- 2021-08-21
- 2022-02-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): A red, slightly itchy rash appeared on Day 8 at the injection site, accompanied by soreness (like a bruise) and stiffness in the area, approx. 3" in diameter (irregular shaped). I took photos. Applied Caladryl at night. Starting to subside on Day 9 (today), but still visible and slightly itchy.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Only threw up a couple of times at one occurrence, in the middle of the night. Couldnt sleep. Mild fever and chills didnt start till middle of the night.
Systemic reaction (other): Red, non-itchy rash adjacent to injection site.
Systemic reaction (other): Remnants of rash at injection site remain. Second red area near injection site on arm now gone.
Release 4 — day 7, dose 2
Systemic reaction (other): Just a rash residue at site of injection.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release