3WX-80719-44762
2 vaccinations
6 coded responses
19 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 840 / UT
- Registered
- 2020-12-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Registered in v-safe
-
2020-12-30
Dose 1 — Moderna
- 2020-12-30
- 2020-12-31
- 2021-01-01
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-05
-
2021-01-06
Survey response — day 7, dose 1MedDRA: Injection site pain, Injection site pruritus — Feeling: Good · Site: Pain, ItchingFree text: Have had mild pain ( only when pressing site)which has been steadily decreasing, but today more sore and now itchy for first timeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: On about day 8 or 9 after first vaccination, the injection site swelled substantially and was very itchy for a couple of days. Was painful if pressure applied. Gradually got back to normal...still a bit sore at injection site if pressure appliedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-20
-
2021-01-27
Dose 2 — Moderna
-
2021-02-05
Survey response — day 7, dose 2MedDRA: Chills, Fatigue, Injection site pain, Nausea, Pyrexia — Feeling: Good · Chills, Headache, Fatigue or tiredness, Nausea, DiarrheaFree text: These symptoms appeared jan 28...dont see a way to report past symptoms...This is 1st checkin Ive received since vaccination...I had a pretty bad reaction the morning after 2nd vaccine. Fever of 103.1 , chills, nausea, fatigue, very sore at injection site. Only lasted about 3 hours, then I was fine except for pain at injection site that gradually diminished over the next few daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
-
2021-02-17
Survey response — day 21, dose 2MedDRA: Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Have had diarrhea for last few days...unsure if related to vaccine. Worst day was Feb 13MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Survey response — day 28, dose 2MedDRA: Diarrhoea — Feeling: GoodFree text: Not new or worsening, but still experiencing diarrhea. Not sure if related to vaccine or not?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — day 35, dose 2MedDRA: Diarrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still have diarrhea...had to come home for afternoonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-04-28
- 2021-07-28
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Have had mild pain ( only when pressing site)which has been steadily decreasing, but today more sore and now itchy for first time
Release 1 — day 14, dose 1
Symptoms: On about day 8 or 9 after first vaccination, the injection site swelled substantially and was very itchy for a couple of days. Was painful if pressure applied. Gradually got back to normal...still a bit sore at injection site if pressure applied
Release 3 — day 7, dose 2
Systemic reaction (other): These symptoms appeared jan 28...dont see a way to report past symptoms...This is 1st checkin Ive received since vaccination...I had a pretty bad reaction the morning after 2nd vaccine. Fever of 103.1 , chills, nausea, fatigue, very sore at injection site. Only lasted about 3 hours, then I was fine except for pain at injection site that gradually diminished over the next few days
Release 4 — day 21, dose 2
Symptoms: Have had diarrhea for last few days...unsure if related to vaccine. Worst day was Feb 13
Release 4 — day 28, dose 2
Symptoms: Not new or worsening, but still experiencing diarrhea. Not sure if related to vaccine or not?
Release 5 — day 35, dose 2
Symptoms: Still have diarrhea...had to come home for afternoon
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pruritus | ○ | ○ | ○ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release