3J4-65603-36233
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 401 / KY
- Registered
- 2021-03-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-03-21
Registered in v-safe
-
2021-03-21
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Pruritus, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: My rash at the injection site got more itchy and more red. Then at night, my whole body felt itchy. I took Benadryl. The Bevadryl worked the first night, but not the second. The third night it wasnt as bad.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: 1/2 lump on my collarbone, which I assume is swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Still have a 1 lump over my collarbone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Survey response — day 7, dose 2MedDRA: Swelling — Feeling: Good · Site: ItchingFree text: Lump on collar bone is slightly smaller todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-22
Survey response — day 14, dose 2MedDRA: Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: As with my first injection, 9 days into the second I suddenly got itchy all over my body, to the point I couldnt sleep. A shower, hand lotion and Benadryl did not help. I have had this the last two days. First the first injection it lasted 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: My rash at the injection site got more itchy and more red. Then at night, my whole body felt itchy. I took Benadryl. The Bevadryl worked the first night, but not the second. The third night it wasnt as bad.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): 1/2 lump on my collarbone, which I assume is swollen lymph nodes
Systemic reaction (other): Still have a 1 lump over my collarbone.
Release 7 — day 7, dose 2
Systemic reaction (other): Lump on collar bone is slightly smaller today
Release 7 — day 14, dose 2
Symptoms: As with my first injection, 9 days into the second I suddenly got itchy all over my body, to the point I couldnt sleep. A shower, hand lotion and Benadryl did not help. I have had this the last two days. First the first injection it lasted 2 days.
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 pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release