3BM-18589-74876
1 vaccination
3 coded responses
6 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 222 / VA
- Registered
- 2021-02-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-18
Dose 1 — Moderna
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2021-02-19
Registered in v-safe
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Hyperhidrosis — Feeling: Good · ChillsFree text: Chills on Tuesday (16) and Thursday (18). No fever, but sweating.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Peripheral swelling — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Yes, left leg is red from my above my ankle to have way up my leg and is swollen. Would you be able to edit the day of my shot. I accidentally put the 18th of February and it should be the 16th of February.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Erythema — Feeling: GoodFree text: I went to the doctor yesterday, the chills and redness are related to a different issue. Please make sure that you changed thr the date of my vaccine to 2/16/2021, instead of 2/18/2021.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-18 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Chills on Tuesday (16) and Thursday (18). No fever, but sweating.
Systemic reaction (other): Yes, left leg is red from my above my ankle to have way up my leg and is swollen. Would you be able to edit the day of my shot. I accidentally put the 18th of February and it should be the 16th of February.
Systemic reaction (other): I went to the doctor yesterday, the chills and redness are related to a different issue. Please make sure that you changed thr the date of my vaccine to 2/16/2021, instead of 2/18/2021.
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 |
|---|---|---|---|---|
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release