36R-27190-91684
2 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 894 / NV
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-09
Registered in v-safe
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2021-01-09
Dose 1 — Moderna
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2021-01-09
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-01-14
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2021-01-15
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-01-16
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good · Site: Redness, Swelling, ItchingFree text: The swelling at the injection site was almost gone and today it came back and is red and swollen and extremely itchy. That started this morning and the swelling has more than doubled in size.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-23
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Injection site warmth, Paraesthesia — Feeling: FairFree text: 1/16 injection site flared for 24 hrs - red, hot, swollen (softball), burning pain. Increased fatigue for 4-5 days. Paresthesia on right side of body onset 1/16, has lessened daily, still present. Injection site has been itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — day 21, dose 1MedDRA: Fatigue, Paraesthesia — Feeling: FairFree text: I just want to note that I still have lingering parasthesia on the right side of my body and fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Dose 2 — Moderna
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2021-02-06
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesAdult check-in
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2021-02-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessAdult check-in
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2021-02-13
Health check-in — day 7, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-07
- 2022-02-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna |
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): The swelling at the injection site was almost gone and today it came back and is red and swollen and extremely itchy. That started this morning and the swelling has more than doubled in size.
Release 2 — day 14, dose 1
Symptoms: 1/16 injection site flared for 24 hrs - red, hot, swollen (softball), burning pain. Increased fatigue for 4-5 days. Paresthesia on right side of body onset 1/16, has lessened daily, still present. Injection site has been itchy.
Release 3 — day 21, dose 1
Symptoms: I just want to note that I still have lingering parasthesia on the right side of my body and fatigue.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release