3Z8-97621-21779
4 vaccinations
2 coded responses
45 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 210 / MD
- Registered
- 2021-01-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
AKQ-77467-14134
Child or adolescent in my care · Female · 2021-12-11
WBK-41072-19939
Child or adolescent in my care · Male · 2022-09-19
Timeline
-
2021-01-04
Registered in v-safe
-
2021-01-04
Dose 1 — Moderna
-
2021-01-04
Survey response — day 0, dose 1MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: Numbness and tingling in injection arm palm of hand and 4th/5th finger digitsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-05
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Axillary lymph edema of injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-18
- 2021-01-25
-
2021-02-01
Dose 2 — Moderna
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-05-03
- 2021-08-02
-
2021-11-15
Dose 3 — Moderna
- 2021-12-11
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-02-14
- 2022-05-16
-
2022-09-30
Dose 4 — ModernaCo-administered: Flu
-
2022-10-01
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body achesAdult check-in
- 2022-10-02
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-04 | Moderna | |
| 2 | 2021-02-01 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-09-30 | Moderna | Flu |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Numbness and tingling in injection arm palm of hand and 4th/5th finger digits
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Axillary lymph edema of injection arm
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 | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release