3E9-25203-76219
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 945 / CA
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site warmth — Feeling: Good · Site: RednessFree text: Area around injection site has been warm for the last few days. Other arm has normal skin temperature which is much cooler than upper arm where injection site is.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
-
2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: General symptom — Feeling: Fair · Fatigue or tiredness, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: I'm not sure if my symptoms are from the vaccine. It could be food poisoning as it happened not long after my evening meal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-17
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site reaction, Urticaria — Feeling: GoodFree text: I believe I have what they call 'Covid Arm.' The injection site developed an extremely large red welt at the injection site with moderate swelling. This happened 9 days after shot. Swelling has reduced but the red welt has spread out like an arm bandMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
- 2021-03-03
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Eye pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My left eye, on tbe same side as my injection, has some pain. My right eye is okay.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
- 2021-09-01
- 2022-03-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Area around injection site has been warm for the last few days. Other arm has normal skin temperature which is much cooler than upper arm where injection site is.
Systemic reaction (other): I'm not sure if my symptoms are from the vaccine. It could be food poisoning as it happened not long after my evening meal.
Release 4 — day 14, dose 1
Symptoms: I believe I have what they call 'Covid Arm.' The injection site developed an extremely large red welt at the injection site with moderate swelling. This happened 9 days after shot. Swelling has reduced but the red welt has spread out like an arm band cut off by CDC
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): My left eye, on tbe same side as my injection, has some pain. My right eye is okay.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Eye pain | ✓ | ✓ | ✓ |
| SRO | General symptom | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release