3W5-12378-62921
2 vaccinations
1 coded response
13 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 833 / ID
- Registered
- 2021-05-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-10
Dose 1 — Moderna
-
2021-05-08
Registered in v-safe
-
2021-05-08
Dose 2 — Moderna
-
2021-05-08
Health check-in — day 0, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-05-10
-
2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Eye irritation, Peripheral swelling — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Swollen hands and feet, irritated eyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Muscle or body aches, NauseaAdult check-in
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-15
Health check-in — day 7, dose 2Feeling: Poor · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-24
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-10 | Moderna | |
| 2 | 2021-05-08 | Moderna |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Swollen hands and feet, irritated eyes
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 |
|---|---|---|---|---|
| SRO | Eye irritation | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release