3F3-18034-41939
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 752 / TX
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
-
2021-03-23
Survey response — day 14, dose 1MedDRA: Injection site rash, Pain in extremity, Pruritus, Skin warm — Feeling: GoodFree text: The 8th day after my shot my arm became very painful with a rash at the injection site. It was hot to the touch. Rash is still there today but smaller and has now moved a few inches down my arm. Pain barely noticeable, but itches.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-04-05
Dose 2 — Moderna
-
2021-04-13
Survey response — day 7, dose 2MedDRA: Arthralgia, Chills, Nausea, Pyrexia, Skin burning sensation — Feeling: GoodFree text: 4/5/21-4/6/21 ran between 101 and 102 fever, chills, nausea, joint pain, skin felt like it was on fire. All gone by 4/7/21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-19
Survey response — day 14, dose 2MedDRA: Dry mouth, Fatigue, Injection site discomfort, Injection site rash — Feeling: GoodFree text: Fatigue. Tired all the time since 2nd vaccine. And last night developed another rash at the injection site but not painful. Extreme dry mouth since 2nd injection but starting to get better now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-07
- 2021-10-04
- 2022-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-05 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: The 8th day after my shot my arm became very painful with a rash at the injection site. It was hot to the touch. Rash is still there today but smaller and has now moved a few inches down my arm. Pain barely noticeable, but itches.
Release 7 — day 7, dose 2
Systemic reaction (other): 4/5/21-4/6/21 ran between 101 and 102 fever, chills, nausea, joint pain, skin felt like it was on fire. All gone by 4/7/21.
Release 7 — day 14, dose 2
Symptoms: Fatigue. Tired all the time since 2nd vaccine. And last night developed another rash at the injection site but not painful. Extreme dry mouth since 2nd injection but starting to get better now.
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 | Dry mouth | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Skin burning sensation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release