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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

  1. 2021-01-21
    Dose 1 — Moderna
  2. 2021-01-30
    Registered in v-safe
  3. 2021-01-30
    Survey response — day 7, dose 1
    MedDRA: Injection site bruising, Injection site pain, Injection site reaction, Musculoskeletal stiffness, Rash erythematous, Rash pruritic — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free 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
  4. 2021-02-04
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-02-18
    Dose 2 — Moderna
  7. 2021-02-18
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  8. 2021-02-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Insomnia, Pyrexia, Vomiting — Feeling: Poor · Site: Pain · Fever · Chills, Vomiting · Be unable to work, Be unable to do your normal daily activities
    Free 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
  9. 2021-02-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site rash — Feeling: Fair · Site: Pain, Redness
    Free text: Red, non-itchy rash adjacent to injection site.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  11. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  12. 2021-02-24
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site rash — Feeling: Good
    Free 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
  13. 2021-02-25
    Survey response — day 7, dose 2
    MedDRA: Injection site rash — Feeling: Good
    Free text: Just a rash residue at site of injection.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-01
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-08-21
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-02-18
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-18Moderna

Free text

Release 3 — day 7, dose 1

2021-01-30

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

2021-02-19

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.

2021-02-20

Systemic reaction (other): Red, non-itchy rash adjacent to injection site.

2021-02-24

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

2021-02-25

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

FieldPreferred term2021-092023-042024-11
SROChills ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROMusculoskeletal stiffness ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORash erythematous ✓ ✓ ✓
SRORash pruritic ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release