3E6-26476-88640
5 vaccinations
3 coded responses
45 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 128 / NY
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-24
Registered in v-safe
-
2021-01-24
Dose 1 — Moderna
- 2021-01-24
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Immediate post-injection reaction, Oral discomfort, Paraesthesia oral, Pre-existing disease — Feeling: GoodFree text: On the first day 40 min after my vaccine I had mild tingling on 1/2 my bottom lip And mild burning on my roof of my mouth. It was very mild and only lasted 5-10 min. Not sure it was related to vaccine but I do have shellfish allergy and I have MS so this can happen with it alsoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-07
- 2021-02-14
-
2021-02-21
Dose 2 — Moderna
- 2021-02-21
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-23
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site joint warmth, Injection site pruritus — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Had the redness and itching for couple days on upper arm that I got shot in but it is improving. It was also warm to touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Pruritus — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Very little redness yet on my arm and very little itching much improvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-05-23
- 2021-08-22
-
2021-09-27
Dose 3 — Moderna
- 2021-10-27
- 2021-11-01
- 2021-11-08
- 2021-12-27
-
2022-03-24
Dose 4 — Moderna
- 2022-03-28
- 2022-04-15
- 2022-04-21
- 2022-04-28
- 2022-05-05
- 2022-06-23
-
2022-09-16
Dose 5 — Pfizer-BioNTech
- 2022-09-21
- 2022-09-22
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-24 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-09-27 | Moderna | No |
| 4 | 2022-03-24 | Moderna | No |
| 5 | 2022-09-16 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): On the first day 40 min after my vaccine I had mild tingling on 1/2 my bottom lip And mild burning on my roof of my mouth. It was very mild and only lasted 5-10 min. Not sure it was related to vaccine but I do have shellfish allergy and I have MS so this can happen with it also
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Had the redness and itching for couple days on upper arm that I got shot in but it is improving. It was also warm to touch
Systemic reaction (other): Very little redness yet on my arm and very little itching much improved
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 | Erythema | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site joint warmth | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Oral discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release