38G-83418-73687
4 vaccinations
4 coded responses
42 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 853 / AZ
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2020-12-22
Dose 1 — Moderna
-
2021-01-02
Registered in v-safe
-
2021-01-02
Survey response — day 7, dose 1MedDRA: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Somnolence — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: I felt sleepy the first night (12/22/20) and the second day (12/23/20), but after that I felt fine. The first day my arm was sore at the injection site, and then it was slightly more painful that night and the next day. On the third day (12/24/20) these symptoms were gone. I noticed on 12/31/20 that my arm at the injection site was itching. On 1/1/21 I noticed a circular rash around the area where I received the injection. It is also slightly raised. It is the same today 1/2/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-05
- 2021-01-12
- 2021-01-19
-
2021-01-20
Dose 2 — Moderna
-
2021-01-20
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-02-03
-
2021-02-10
Survey response — day 21, dose 2MedDRA: Dry eye, Eye discharge, Eye irritation, Eye swelling, Ocular hyperaemia, Testicular swelling — Feeling: GoodFree text: Possible pink eye; red eye (all day) , oozing and swelling this AM that has decreased. Dry, irritated feeling inner eyeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — day 28, dose 2MedDRA: Conjunctivitis — Feeling: GoodFree text: Pink eye diagnosed on 2/11/21MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-11-05
Dose 3 — Moderna
- 2021-11-14
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2022-02-04
- 2022-05-06
- 2022-11-05
-
2022-12-16
Dose 4 — Moderna
- 2022-12-17
- 2022-12-18
- 2022-12-19
- 2022-12-20
- 2022-12-21
- 2022-12-22
- 2022-12-23
- 2022-12-30
- 2023-01-06
- 2023-01-13
- 2023-01-20
- 2023-01-27
- 2023-03-17
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2023-06-17
Survey response — 6 months, dose 4MedDRA: Chills, Cough, Headache, Nasal congestion, Nausea, Pain, Pyrexia, Rhinorrhoea — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-12-16 | Moderna | No |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): I felt sleepy the first night (12/22/20) and the second day (12/23/20), but after that I felt fine. The first day my arm was sore at the injection site, and then it was slightly more painful that night and the next day. On the third day (12/24/20) these symptoms were gone. I noticed on 12/31/20 that my arm at the injection site was itching. On 1/1/21 I noticed a circular rash around the area where I received the injection. It is also slightly raised. It is the same today 1/2/21
Release 4 — day 21, dose 2
Symptoms: Possible pink eye; red eye (all day) , oozing and swelling this AM that has decreased. Dry, irritated feeling inner eye
Release 4 — day 28, dose 2
Symptoms: Pink eye diagnosed on 2/11/21
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 | Chills | · | · | ✓ |
| SD | Conjunctivitis | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dry eye | ✓ | ✓ | ✓ |
| SD | Eye discharge | ✓ | ✓ | ✓ |
| SD | Eye irritation | ✓ | ✓ | ✓ |
| SD | Eye swelling | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Ocular hyperaemia | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Testicular swelling | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release