3US-10572-22828
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 440 / OH
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-04-14
Registered in v-safe
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2021-04-14
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: A sore arm for about a day and a halfMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
- 2021-04-17
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2021-04-25
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site rash, Rash papular — Feeling: GoodFree text: Red circular raised rash on my arm at sight of injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — day 21, dose 1MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Pain, Rhinorrhoea, Sneezing — Feeling: PoorFree text: Traveled on a plane at 4:25. 21 and started to get a bad cold shortly after the flight took off and was coughing for 3 1/2 hours straight which resulted in an extremely sore throat, body aching, sneezing, and a runny noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-08
Survey response — day 28, dose 1MedDRA: Bronchitis, Malaise, Nasopharyngitis, Respiratory tract congestion — Feeling: Fair · Be unable to work, Be unable to do your normal daily activitiesFree text: Got a bad cold and bronchitis on 4/25/21 and still sick with tedious congestion for two weeks nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
-
2021-05-22
Dose 2 — Moderna
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2021-05-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · HeadacheFree text: Sore arm at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-05-26
- 2021-05-27
- 2021-05-29
- 2021-06-05
- 2021-06-14
- 2021-06-19
- 2021-06-26
- 2021-07-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-22 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): A sore arm for about a day and a half
Release 7 — day 14, dose 1
Symptoms: Red circular raised rash on my arm at sight of injection.
Release 8 — day 21, dose 1
Symptoms: Traveled on a plane at 4:25. 21 and started to get a bad cold shortly after the flight took off and was coughing for 3 1/2 hours straight which resulted in an extremely sore throat, body aching, sneezing, and a runny nose
Release 8 — day 28, dose 1
Symptoms: Got a bad cold and bronchitis on 4/25/21 and still sick with tedious congestion for two weeks now
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sore arm at injection site
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 | Bronchitis | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release