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3TP-90874-45502

2 vaccinations 4 coded responses 23 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
530 / WI
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-04
    Registered in v-safe
  2. 2021-03-04
    Dose 1 — Moderna
  3. 2021-03-04
    Survey response — day 0, dose 1
    MedDRA: Feeling cold, Paraesthesia — Feeling: Good · Rash, not including the immediate area around the injection site
    Free text: I felt a cold rush of tingling pins and needles in my hands, feet, mouth, throat and chest
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-11
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-18
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Fair
    Free text: Ive been more tired than normal and developed the delayed BIG red hot itchy swollen arm near my injection site. It came on 8 days after my shot and lasted for 4 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-25
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-04-01
    Dose 2 — Moderna
  14. 2021-04-01
    Survey response — day 0, dose 2
    MedDRA: Feeling cold — Feeling: Good
    Free text: Cold sensation in my mouth/throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  16. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  17. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  18. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis, Injection site erythema, Injection site pruritus, Injection site warmth — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever
    Free text: Last night/this morning I was sweating and uncomfortable. Daytime: itchy red hot swollen injection site. VERY noticeable!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Itching · None
    Adult check-in
  20. 2021-04-08
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-04-15
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-22
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-04-29
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-06
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-13
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-10-03
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-04Moderna
22021-04-01Moderna

Free text

Release 5 — day 0, dose 1

2021-03-04

Systemic reaction (other): I felt a cold rush of tingling pins and needles in my hands, feet, mouth, throat and chest

Release 5 — day 14, dose 1

2021-03-18

Symptoms: Ive been more tired than normal and developed the delayed BIG red hot itchy swollen arm near my injection site. It came on 8 days after my shot and lasted for 4 days.

Release 6 — day 0, dose 2

2021-04-01

Systemic reaction (other): Cold sensation in my mouth/throat

Release 7 — days 1–6 daily, dose 2

2021-04-05

Systemic reaction (other): Last night/this morning I was sweating and uncomfortable. Daytime: itchy red hot swollen injection site. VERY noticeable!

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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site swelling ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pruritus ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release