3M2-13226-81211
4 vaccinations
10 coded responses
54 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 114 / NY
- Registered
- 2021-05-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-05-22
Registered in v-safe
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2021-05-22
Dose 1 — Moderna
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2021-05-22
Survey response — day 0, dose 1MedDRA: Pruritus — Feeling: Good · Site: PainFree text: Allergenic itch, but could be seasonal/weather-relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-23
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: PainFree text: A bit more allergenic itching than usual...dont know if its the vax or the weatherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-24
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: PainFree text: Allergenic itching...may be due to vax or weatherMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-25
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache is faintMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-06-05
- 2021-06-12
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2021-06-19
Dose 2 — Moderna
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2021-06-19
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-20
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: All symptoms are in the mild-to-slightly mod rangerest & hydration for the day!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · HeadacheAdult check-in
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2021-06-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-06-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-06-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-06-25
- 2021-06-26
- 2021-07-03
- 2021-07-10
- 2021-07-17
- 2021-07-24
- 2021-07-31
- 2021-09-18
- 2021-12-18
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2022-01-13
Dose 3 — Moderna
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2022-01-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
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2022-01-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint painsAdult check-in
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2022-01-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Rash, not including the immediate area around the injection siteAdult check-in
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2022-01-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2022-01-18
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: GoodFree text: Tenderness in armpit of injected armMedDRA releases: 2024-11 · check-in free text available
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2022-01-19
Survey response — days 1–6 daily, dose 3MedDRA: Oedema peripheral, Tenderness — Feeling: GoodFree text: Less tenderness/swelling in armpit of injected armMedDRA releases: 2024-11 · check-in free text available
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2022-01-20
Survey response — day 7, dose 3MedDRA: Discomfort, Oedema peripheral — Feeling: GoodFree text: Minimal discomfort/swelling in armpit of injected armMedDRA releases: 2024-11 · check-in free text available
- 2022-01-27
- 2022-02-03
- 2022-02-10
- 2022-02-17
- 2022-02-24
- 2022-04-14
- 2022-07-14
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2022-11-01
Dose 4 — ModernaCo-administered: Flu
- 2022-11-01
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2022-11-02
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2022-11-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-11-04
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
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2022-11-05
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2022-11-06
- 2022-11-07
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2022-11-08
Survey response — day 7, dose 4MedDRA: Swelling — Feeling: Good · Site: Pain, SwellingFree text: For the last few vsafe checks, I didn't realize there's still min swelling.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-15
- 2022-11-22
- 2022-11-29
- 2022-12-06
- 2022-12-13
- 2023-01-31
- 2023-05-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-22 | Moderna | |
| 2 | 2021-06-19 | Moderna | No |
| 3 | 2022-01-13 | Moderna | No |
| 4 | 2022-11-01 | Moderna | Flu |
Free text
Release 8 — day 0, dose 1
Systemic reaction (other): Allergenic itch, but could be seasonal/weather-related
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): A bit more allergenic itching than usual...dont know if its the vax or the weather
Systemic reaction (other): Allergenic itching...may be due to vax or weather
Systemic reaction (other): Headache is faint
Release 9 — day 0, dose 2
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): All symptoms are in the mild-to-slightly mod rangerest & hydration for the day!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tenderness in armpit of injected arm
Systemic reaction (other): Less tenderness/swelling in armpit of injected arm
Release 10 — day 7, dose 3
Systemic reaction (other): Minimal discomfort/swelling in armpit of injected arm
Release 12 — day 7, dose 4
Systemic reaction (other): For the last few vsafe checks, I didn't realize there's still min swelling.
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 | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release