3VU-12793-33329
4 vaccinations
6 coded responses
41 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 463 / IN
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
- 2021-03-12
-
2021-03-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · HeadacheAdult check-in
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
-
2021-03-27
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: On March 20th my arm was red, itchy and slightly swollen around the injection site. I did not have those issues prior to the 20th. It lasted about 2 1/2 - 3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · HeadacheAdult check-in
- 2021-04-14
- 2021-04-16
-
2021-04-25
Survey response — day 14, dose 2MedDRA: Pain in extremity — Feeling: GoodFree text: My arm was sore today for a few hours. It seemed to be in my muscle directly under the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-02
- 2021-05-11
- 2021-05-16
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Burning sensation — Feeling: GoodFree text: After my second vaccine I had a strange burning type feeling in my right hand. Lately, I have been having some pain in that same location, while working/moving it. Don't know if it's all a coincidence or if it could be something from the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-13
-
2021-12-16
Dose 3 — Moderna
- 2021-12-16
-
2021-12-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling, Itching · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-12-18
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-23
- 2022-01-01
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2022-01-06
Survey response — day 21, dose 3MedDRA: Oropharyngeal pain — Feeling: GoodFree text: Mild sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-01-13
- 2022-01-22
-
2022-06-18
Survey response — 6 months, dose 3MedDRA: Cough, Headache, Oropharyngeal pain — Feeling: FairFree text: Soar throat, slight cough, headacheMedDRA releases: 2024-11 · check-in free text available
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2022-12-12
Dose 4 — Moderna
- 2022-12-18
- 2022-12-19
- 2022-12-28
- 2023-01-04
- 2023-01-10
- 2023-01-18
- 2023-01-25
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-12-16 | Moderna | No |
| 4 | 2022-12-12 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: On March 20th my arm was red, itchy and slightly swollen around the injection site. I did not have those issues prior to the 20th. It lasted about 2 1/2 - 3 days.
Release 7 — day 14, dose 2
Symptoms: My arm was sore today for a few hours. It seemed to be in my muscle directly under the injection site.
Release 9 — 3 months, dose 2
Symptoms: After my second vaccine I had a strange burning type feeling in my right hand. Lately, I have been having some pain in that same location, while working/moving it. Don't know if it's all a coincidence or if it could be something from the vaccine.
Release 10 — day 21, dose 3
Symptoms: Mild sore throat
Release 12 — 6 months, dose 3
Symptoms: Soar throat, slight cough, headache
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 | Burning sensation | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Palpitations | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release