37L-58855-42667
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 789 / TX
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site discomfort — Feeling: Good · Site: PainFree text: Injection site discomfort is beginning to subside but not fully gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · HeadacheFree text: Headache yesterday in tbe evening & today in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
-
2021-02-16
Survey response — day 14, dose 1MedDRA: Nodule, Rash erythematous, Rash pruritic — Feeling: FairFree text: One week after Vac #1, the injection site developed a golf ball size knot and an itchy rash. A day or two later the rash went to an elongated rectangle fading in the center & very red at the edges. Yesterday rash is now circling around the arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
- 2021-03-02
-
2021-03-03
Dose 2 — Moderna
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Lethargy, Tenderness — Feeling: GoodFree text: Day after vaccine my are was slightly tender and I was very lethargic and had no appetite.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — day 7, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site discomfort is beginning to subside but not fully gone.
Systemic reaction (other): Headache yesterday in tbe evening & today in the morning.
Release 4 — day 14, dose 1
Symptoms: One week after Vac #1, the injection site developed a golf ball size knot and an itchy rash. A day or two later the rash went to an elongated rectangle fading in the center & very red at the edges. Yesterday rash is now circling around the arm.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Day after vaccine my are was slightly tender and I was very lethargic and had no appetite.
Release 5 — day 7, dose 2
Systemic reaction (other): None
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 | Nodule | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release