3TK-31014-05739
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 147 / NY
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Dose 1 — Moderna
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Pain — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: None of them actually terrible but they do it does hurt and I do feel ookyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fever, tingles all over...it all went awaylasted from 3:30pm April 9,2020 until by 1:30 pm April 10, 2030 todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-04-15
Health check-in — day 7, dose 2Feeling: Fair · Site: Pain, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-04-22
- 2021-04-29
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2021-05-08
Survey response — day 28, dose 2MedDRA: Glossodynia, Hypoaesthesia, Malaise, Rash, Rash pruritic — Feeling: FairFree text: The right side of my tongue was extremely painful for over a week and I have had an awful rash on the right side of my face That is terribly itchy and thick feeling and bumpy and a little numbish and illfeeling but not pimplesa rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-09
-
2021-10-23
Dose 3 — ModernaCo-administered: Flu
- 2021-11-01
- 2021-11-06
- 2021-11-15
- 2021-12-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-23 | Moderna | Flu |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): None of them actually terrible but they do it does hurt and I do feel ooky
Systemic reaction (other): Fever, tingles all over...it all went awaylasted from 3:30pm April 9,2020 until by 1:30 pm April 10, 2030 today
Release 8 — day 28, dose 2
Symptoms: The right side of my tongue was extremely painful for over a week and I have had an awful rash on the right side of my face That is terribly itchy and thick feeling and bumpy and a little numbish and illfeeling but not pimplesa rash.
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 | Glossodynia | ✓ | ✓ | ✓ |
| SD | Hypoaesthesia | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release