3ZC-29688-21908
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 871 / NM
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Dose 1 — Moderna
-
2021-03-29
Registered in v-safe
-
2021-03-29
Survey response — day 7, dose 1MedDRA: Injection site rash, Injection site reaction, Rash, Rash pruritic, Urticaria — Feeling: Good · Site: Pain, Redness, ItchingFree text: On the 7th day after my vaccine I got a welt and rash at the vaccine site. It was very itchy and annoyingly painful like throbbing. Nothing severe.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-10
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Pain, Pyrexia — Feeling: Good · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness, Abdominal painFree text: Today is two days post vaccine, but the night of my vaccine (12 hrs post) I had chills, fever, aches, and the worst headache of my life. Yesterday (1 day post) I had a headache, tired, and body aches. I missed my v safe reporting so I wanted to give that information.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Very very minor soreness at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
- 2021-04-26
- 2021-05-03
-
2021-05-08
Survey response — day 21, dose 2MedDRA: Ear pain, Nasal congestion, Oropharyngeal pain, Sinusitis — Feeling: FairFree text: Have had a sore throat for two days, stuffy nose, and my ears hurt. Feels like a sinus infection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
- 2021-05-22
- 2021-05-31
- 2021-07-17
- 2021-10-16
- 2022-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna |
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): On the 7th day after my vaccine I got a welt and rash at the vaccine site. It was very itchy and annoyingly painful like throbbing. Nothing severe.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Today is two days post vaccine, but the night of my vaccine (12 hrs post) I had chills, fever, aches, and the worst headache of my life. Yesterday (1 day post) I had a headache, tired, and body aches. I missed my v safe reporting so I wanted to give that information.
Systemic reaction (other): Very very minor soreness at the injection site
Release 8 — day 21, dose 2
Symptoms: Have had a sore throat for two days, stuffy nose, and my ears hurt. Feels like a sinus infection.
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release