3UU-12084-72037
3 vaccinations
5 coded responses
30 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 338 / FL
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
- 2021-01-11
-
2021-01-12
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Itching · Muscle or body aches, Abdominal painAdult check-in
-
2021-01-13
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain, ItchingFree text: A couple of hours this morning of a burning sensation from elbow to shoulder of injection arm. Not externally, but internally. Mild to moderate.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-25
Survey response — day 14, dose 1MedDRA: Injection site rash, Pruritus, Rash — Feeling: GoodFree text: Rash at injection site spreading to my entire back. Extremely itchy. Started eight days post injection, starting to improve 14 days post injection (today).MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
-
2021-02-05
Dose 2 — Moderna
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Feeling abnormal — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness · Be unable to workFree text: Foggy-headed with slight dizziness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-08-06
-
2021-11-19
Dose 3 — Moderna
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Insomnia, Restlessness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolFree text: Insomnia, fidgetyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
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2021-12-31
Survey response — day 42, dose 3MedDRA: Cough, Eye irritation, Pain, Somnolence, Throat irritation, Upper-airway cough syndrome — Feeling: GoodFree text: Scratchy throat, fleeting body aches, sleepiness, intermittent dry cough, burning eyes, occasional post-nasal drip.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-18
- 2022-05-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): A couple of hours this morning of a burning sensation from elbow to shoulder of injection arm. Not externally, but internally. Mild to moderate.
Release 2 — day 14, dose 1
Symptoms: Rash at injection site spreading to my entire back. Extremely itchy. Started eight days post injection, starting to improve 14 days post injection (today).
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Foggy-headed with slight dizziness.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Insomnia, fidgety
Release 10 — day 42, dose 3
Symptoms: Scratchy throat, fleeting body aches, sleepiness, intermittent dry cough, burning eyes, occasional post-nasal drip.
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 | Cough | · | · | ✓ |
| SD | Eye irritation | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Restlessness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release