3MT-15514-90782
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 840 / UT
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Registered in v-safe
-
2020-12-31
Dose 1 — Moderna
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2020-12-31
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: GoodFree text: Tingling on lateral side of left hand 5th digit (same arm of injection site).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
- 2021-01-04
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2021-01-12
Survey response — day 7, dose 1MedDRA: Rash, Rash pruritic — Feeling: Fair · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Small itchy painful bumps mostly on both hands and also on arms, face, ear, butt, legs and feetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
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2021-01-28
Dose 2 — Moderna
- 2021-01-28
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2021-01-29
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Chills, Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-02-04
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2021-02-11
Survey response — day 14, dose 2MedDRA: Fatigue, Nausea, Pruritus, Skin disorder, Skin induration, Skin swelling — Feeling: FairFree text: Painful bumps that can be itchy and also can become swollen and enlarged. Start on 2/2/2021. More appeared in the following days. Still have some. Same painful bumps I got after the 1st vaccine shot. Also still fatigue and nausea.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-06
- 2021-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | |
| 2 | 2021-01-28 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Tingling on lateral side of left hand 5th digit (same arm of injection site).
Release 1 — day 7, dose 1
Systemic reaction (other): Small itchy painful bumps mostly on both hands and also on arms, face, ear, butt, legs and feet
Release 4 — day 14, dose 2
Symptoms: Painful bumps that can be itchy and also can become swollen and enlarged. Start on 2/2/2021. More appeared in the following days. Still have some. Same painful bumps I got after the 1st vaccine shot. Also still fatigue and nausea.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin disorder | ✓ | ✓ | ✓ |
| SD | Skin induration | ✓ | ✓ | ✓ |
| SD | Skin swelling | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release