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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

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-21
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  4. 2021-03-25
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Pruritus, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  5. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-08
    Dose 2 — Moderna
  7. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Fever · Headache
    Adult check-in
  8. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: 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 activities
    Adult check-in
  9. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  10. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  12. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: 1/2 lump on my collarbone, which I assume is swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Lymphadenopathy — Feeling: Good · Site: Redness, Swelling, Itching
    Free text: Still have a 1 lump over my collarbone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-15
    Survey response — day 7, dose 2
    MedDRA: Swelling — Feeling: Good · Site: Itching
    Free text: Lump on collar bone is slightly smaller today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-22
    Survey response — day 14, dose 2
    MedDRA: Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free 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
  16. 2021-05-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna

Free text

Release 6 — day 14, dose 1

2021-03-25

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

2021-04-13

Systemic reaction (other): 1/2 lump on my collarbone, which I assume is swollen lymph nodes

2021-04-14

Systemic reaction (other): Still have a 1 lump over my collarbone.

Release 7 — day 7, dose 2

2021-04-15

Systemic reaction (other): Lump on collar bone is slightly smaller today

Release 7 — day 14, dose 2

2021-04-22

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

FieldPreferred term2021-092023-042024-11
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site rash ✓ ✓ ✓
SDPruritus ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROSwelling ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release