3T5-16600-84402
3 vaccinations
3 coded responses
26 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 308 / GA
- Registered
- 2021-04-12
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-11
Dose 1 — Moderna
-
2021-04-12
Registered in v-safe
-
2021-04-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site reaction, Rash erythematous — Feeling: Fair · Site: Pain · NauseaFree text: On 4/11 area around the injection site was a red dotted rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-09
-
2021-05-16
Dose 2 — Moderna
- 2021-05-16
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Breast tenderness, Contusion, Feeling hot, Rash — Feeling: Poor · Site: Pain, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: When I took off my bra, my left breast had a rash under it and the bra rubbed up against the same area causing a bruise. The area was extremely hot last night and I had to put an ice pack on it for a couple of hours. The area is still tender and the bruise is still there.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Breast tenderness, Contusion — Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tirednessFree text: My left breast is still tender and there is a bruise underneath it. It looks like I was burnt. It feels much better than yesterday. I can wear a bra today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-05-20
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-05-22
- 2021-05-23
- 2021-05-30
- 2021-06-06
- 2021-06-13
- 2021-06-20
- 2021-06-27
- 2021-08-15
- 2021-11-15
-
2022-02-25
Dose 3 — Moderna
- 2022-05-27
- 2023-02-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Moderna | |
| 2 | 2021-05-16 | Moderna | |
| 3 | 2022-02-25 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): On 4/11 area around the injection site was a red dotted rash.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): When I took off my bra, my left breast had a rash under it and the bra rubbed up against the same area causing a bruise. The area was extremely hot last night and I had to put an ice pack on it for a couple of hours. The area is still tender and the bruise is still there.
Systemic reaction (other): My left breast is still tender and there is a bruise underneath it. It looks like I was burnt. It feels much better than yesterday. I can wear a bra today.
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 | Breast tenderness | ✓ | ✓ | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ○ | ✓ | ○ |
| SRO | Injection site reaction | ✓ | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release