36E-24831-35481
3 vaccinations
3 coded responses
5 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 386 / MS
- Registered
- 2021-12-27
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-04-20
Dose 2 — Moderna
-
2021-12-07
Dose 3 — Moderna
-
2021-12-27
Registered in v-safe
-
2021-12-30
Survey response — day 21, dose 3MedDRA: Loss of personal independence in daily activities, Office visit, Pruritus — Feeling: FairFree text: 12/16 whole body began to be itchy 12/18 seriously itchy 12/19 went uegent care and got steroid pill(6days), cetirizine. Taking steroid for 6days, feels good, but finished steroid, itchy worse. must take cetirizine to do my daily activities.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-04
-
2022-01-11
Survey response — day 35, dose 3MedDRA: Depressed mood, Disturbance in attention, Fatigue, Insomnia, Pruritus, Stress — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Very itchy without medication i can't focus on doing anything. I am even feel depressed thinking that until when i have to take a medicine and live like this. I feel so stressed mentally as well. Feel very tired recently. can't go to sleep.MedDRA releases: 2024-11 · check-in free text available
-
2022-01-18
Survey response — day 42, dose 3MedDRA: Diarrhoea, Fatigue, Memory impairment, Office visit, Pharyngeal swelling, Pruritus — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very itchy had to go to urgent care again for stronger medication Tiredness Forgetful Throat swallen Starting diarrhea againMedDRA releases: 2024-11 · check-in free text available
- 2022-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | No |
| 2 | 2021-04-20 | Moderna | No |
| 3 | 2021-12-07 | Moderna | No |
Free text
Release 10 — day 21, dose 3
Symptoms: 12/16 whole body began to be itchy 12/18 seriously itchy 12/19 went uegent care and got steroid pill(6days), cetirizine. Taking steroid for 6days, feels good, but finished steroid, itchy worse. must take cetirizine to do my daily activities.
Release 10 — day 35, dose 3
Symptoms: Very itchy without medication i can't focus on doing anything. I am even feel depressed thinking that until when i have to take a medicine and live like this. I feel so stressed mentally as well. Feel very tired recently. can't go to sleep.
Release 10 — day 42, dose 3
Symptoms: Very itchy had to go to urgent care again for stronger medication Tiredness Forgetful Throat swallen Starting diarrhea again
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 | Depressed mood | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SD | Pharyngeal swelling | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Stress | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release