3PU-23857-80464
3 vaccinations
9 coded responses
32 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 406 / KY
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
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2021-03-09
Dose 1 — Moderna
- 2021-03-09
- 2021-03-10
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2021-03-11
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fever · Headache, Diarrhea · Be unable to workAdult check-in
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-03-30
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2021-04-06
Dose 2 — Moderna
- 2021-04-06
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2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness, NauseaAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Lymph node pain — Feeling: Good · Site: Pain, Itching · FeverFree text: Lymph node pain in shot armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain — Feeling: Good · Site: Pain, RednessFree text: Soreness in the armpit of the arm where I received the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
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2021-05-04
Survey response — day 28, dose 2MedDRA: Gastrointestinal disorder — Feeling: FairFree text: Some stomach issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-18
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2021-07-06
Survey response — 3 months, dose 2MedDRA: Rash — Feeling: GoodFree text: Rash that appears when pressure is applied to my skin, especially my armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-10-05
Survey response — 6 months, dose 2MedDRA: Pruritus, Sensitive skin, Urticaria — Feeling: GoodFree text: Itching at random times on my hands and feet. My arms and legs have become hypersensitive to things I lean up against and will break out in welts that is shaped like the object that my arm was resting on.MedDRA releases: 2024-11 · check-in free text available
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2022-04-08
Survey response — 12 months, dose 2MedDRA: Pruritus, Skin irritation, Urticaria — Feeling: FairFree text: Unexplainable skin irritations, welts and itching.MedDRA releases: 2024-11 · check-in free text available
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2022-04-15
Dose 3 — Moderna
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2022-04-30
Survey response — day 14, dose 3MedDRA: Headache, Rash — Feeling: PoorFree text: Skin rashes & headachesMedDRA releases: 2024-11 · check-in free text available
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2022-05-06
Survey response — day 21, dose 3MedDRA: Headache, Pyrexia — Feeling: GoodFree text: Headaches and a feverMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-22
- 2022-05-27
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2022-07-15
Survey response — 3 months, dose 3MedDRA: Malaise, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend schoolFree text: COVID symptoms for a week but tested negative on home testsMedDRA releases: 2024-11 · check-in free text available
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2022-04-15 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Lymph node pain in shot arm
Systemic reaction (other): Soreness in the armpit of the arm where I received the shot.
Release 8 — day 28, dose 2
Symptoms: Some stomach issues
Release 9 — 3 months, dose 2
Symptoms: Rash that appears when pressure is applied to my skin, especially my arms
Release 10 — 6 months, dose 2
Symptoms: Itching at random times on my hands and feet. My arms and legs have become hypersensitive to things I lean up against and will break out in welts that is shaped like the object that my arm was resting on.
Release 11 — 12 months, dose 2
Symptoms: Unexplainable skin irritations, welts and itching.
Release 11 — day 14, dose 3
Symptoms: Skin rashes & headaches
Release 11 — day 21, dose 3
Symptoms: Headaches and a fever
Release 12 — 3 months, dose 3
Symptoms: COVID symptoms for a week but tested negative on home tests
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 | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sensitive skin | · | · | ✓ |
| SD | Skin irritation | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release