3BD-14112-95658
2 vaccinations
5 coded responses
15 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 761 / TX
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
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2021-03-24
Survey response — day 0, dose 1MedDRA: Headache, Immediate post-injection reaction — Feeling: Good · Site: Pain · Headache, Fatigue or tirednessFree text: Mild headache 15 minutes after injection; lasted less than an hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain, Poor quality sleep — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Fatigue could be from not sleeping well; arm hurt so badly that I woke up all nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-27
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Have been itching & small bumps appear on back when itching. Not sure if related to shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Moderate itching everywhere with mild rash (reaction I have to hydrocodone); antihistamine helped but made me very tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-12
Survey response — day 14, dose 1MedDRA: Pruritus, Rash, Rash vesicular, Scab, Skin weeping — Feeling: GoodFree text: Itchy, weeping rash on arms & legs; small red bumps filled with fluid that open & drain upon scratching. The rash will eventually scab over.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Dose 2 — Moderna
- 2021-04-21
- 2021-04-22
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Mild headache 15 minutes after injection; lasted less than an hour
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue could be from not sleeping well; arm hurt so badly that I woke up all night
Systemic reaction (other): Have been itching & small bumps appear on back when itching. Not sure if related to shot.
Systemic reaction (other): Moderate itching everywhere with mild rash (reaction I have to hydrocodone); antihistamine helped but made me very tired
Release 7 — day 14, dose 1
Symptoms: Itchy, weeping rash on arms & legs; small red bumps filled with fluid that open & drain upon scratching. The rash will eventually scab over.
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 | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash vesicular | ✓ | ✓ | ✓ |
| SD | Scab | ✓ | ✓ | ✓ |
| SD | Skin weeping | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release