3RU-20894-94604
4 vaccinations
9 coded responses
55 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 172 / PA
- Registered
- 2021-02-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-05
Registered in v-safe
- 2021-02-05
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2021-02-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
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2021-02-18
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: On day 8, redness and mild itch on arm at injection site. The itch didn't last long. The redness increased slightly the next day, then started to fade. Lasted 4 to 5 days. Approx area of 3-4 inches long.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
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2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling · Fatigue or tirednessAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: RednessFree text: The redness on the arm extends down the arm nearly to the elbow on the inside of the arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-11
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-03-18
- 2021-03-25
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2021-04-01
Survey response — day 28, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Symptom or age? But occasional twinge of pain in the elbow of the arm that had the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
- 2021-04-15
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2021-06-05
Survey response — 3 months, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Right knee painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-02
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Breast tenderness — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: Tenderness along outer edge of breast area.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Swelling, Tenderness — Feeling: Good · Site: SwellingFree text: Swelling and tenderness in armpit areaMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · DiarrheaAdult check-in
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2022-01-31
- 2022-05-02
- 2022-11-02
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2022-11-21
Dose 4 — Moderna
- 2022-11-21
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2022-11-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
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2022-11-23
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
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2022-11-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
- 2022-11-25
- 2022-11-26
- 2022-11-27
- 2022-11-28
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2022-12-05
Survey response — day 14, dose 4MedDRA: Nasopharyngitis, Paranasal sinus hypersecretion, Sneezing — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Head cold with sneezing and sinus drainageMedDRA releases: 2024-11 · check-in free text available
- 2022-12-12
- 2022-12-19
- 2022-12-26
- 2023-01-02
- 2023-02-20
- 2023-05-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
| 4 | 2022-11-21 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: On day 8, redness and mild itch on arm at injection site. The itch didn't last long. The redness increased slightly the next day, then started to fade. Lasted 4 to 5 days. Approx area of 3-4 inches long.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): The redness on the arm extends down the arm nearly to the elbow on the inside of the arm.
Release 6 — day 28, dose 2
Symptoms: Symptom or age? But occasional twinge of pain in the elbow of the arm that had the injection.
Release 8 — 3 months, dose 2
Symptoms: Right knee pain
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Tenderness along outer edge of breast area.
Systemic reaction (other): Swelling and tenderness in armpit area
Release 12 — day 14, dose 4
Symptoms: Head cold with sneezing and sinus drainage
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Paranasal sinus hypersecretion | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Breast tenderness | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release