3PS-30680-99871
2 vaccinations
1 coded response
18 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 908 / CA
- Registered
- 2021-09-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-09-17
Dose 1 — Moderna
-
2021-09-28
Registered in v-safe
-
2021-09-28
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-10-01
Survey response — day 14, dose 1MedDRA: Rash, Skin warm, Tenderness — Feeling: GoodFree text: Rash on arm got bigger, hot to the touch and slightly tender.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-08
-
2021-10-15
Dose 2 — Moderna
- 2021-10-15
-
2021-10-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-17
- 2021-10-18
- 2021-10-19
- 2021-10-20
- 2021-10-21
-
2021-10-22
Health check-in — day 7, dose 2Feeling: Fair · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-10-29
- 2021-11-05
- 2021-11-13
- 2021-11-19
- 2021-11-26
- 2022-01-14
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-09-17 | Moderna | No |
| 2 | 2021-10-15 | Moderna | No |
Free text
Release 9 — day 14, dose 1
Symptoms: Rash on arm got bigger, hot to the touch and slightly tender.
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 | Rash | · | · | ✓ |
| SD | Skin warm | · | · | ✓ |
| SD | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release