42R-12949-32099
5 vaccinations
8 coded responses
63 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 224 / VA
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Dose 1 — Moderna
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2021-01-15
Registered in v-safe
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
- 2021-01-21
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2021-01-28
Survey response — day 14, dose 1MedDRA: Feeling hot, Peripheral swelling, Pruritus, Skin discolouration, Skin induration, Skin reaction — Feeling: GoodFree text: Exactly one week after the shot I woke Friday morning with an itchy arm and had a red area the size of a tennis ball. The area was swollen, warmer and harder than the surrounding arm area. Most redness gone Sunday, still a little pink and itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
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2021-02-10
Dose 2 — Moderna
- 2021-02-10
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-13
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-02-15
Survey response — days 1–6 daily, dose 2MedDRA: Dry throat, Throat irritation — Feeling: Fair · Site: Itching · FeverFree text: Dry, scratchy throat. Mild. Used warm salt water gargle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Contusion, Dry throat, Oedema peripheral, Throat irritation — Feeling: Good · Site: RednessFree text: Mild: I have a bruise in the armpit of the arm that had the shot. The armpit had some swelling the day after the shot but the swelling went away on the second day. I also have a dry scratchy throat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-17
Survey response — day 7, dose 2MedDRA: Contusion — Feeling: Good · Site: RednessFree text: Mild: Still have minor bruising in armpit of injection arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 42, dose 2MedDRA: Knee operation, Meniscus injury — Feeling: FairFree text: I had knee surgery this morning for a meniscus tearMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-08-11
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2021-10-23
Dose 3 — Moderna
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2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Chills, Decreased appetite, Erythema, Pruritus, Somnolence — Feeling: Good · Site: Redness, Swelling, ItchingFree text: The evening of the shot I had chills and the next day I had a temperature of 100 and needed extra sleep. I only wanted chicken noodle soup to eat on Sunday. Monday I was fine but had the red itchy arm.MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
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2022-01-22
Survey response — 3 months, dose 3MedDRA: Bronchitis, Nasopharyngitis, SARS-CoV-2 test negative, Sinusitis — Feeling: GoodFree text: I had a cold that became a sinus infection and mild bronchitis over Christmas while we were in the (b)(6). Multiple Covid tests were negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
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2022-05-04
Dose 4 — Moderna
- 2022-05-04
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2022-05-05
Survey response — days 1–6 daily, dose 4MedDRA: Somnolence — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Spent most of the day in bed sleeping.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-08-03
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2022-09-28
Dose 5 — Moderna
- 2022-09-28
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2022-09-29
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-30
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-10-03
- 2022-10-04
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-05-04 | Moderna | No |
| 5 | 2022-09-28 | Moderna | No |
Free text
Release 2 — day 14, dose 1
Symptoms: Exactly one week after the shot I woke Friday morning with an itchy arm and had a red area the size of a tennis ball. The area was swollen, warmer and harder than the surrounding arm area. Most redness gone Sunday, still a little pink and itchy.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dry, scratchy throat. Mild. Used warm salt water gargle.
Systemic reaction (other): Mild: I have a bruise in the armpit of the arm that had the shot. The armpit had some swelling the day after the shot but the swelling went away on the second day. I also have a dry scratchy throat.
Release 4 — day 7, dose 2
Systemic reaction (other): Mild: Still have minor bruising in armpit of injection arm.
Release 6 — day 42, dose 2
Symptoms: I had knee surgery this morning for a meniscus tear
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The evening of the shot I had chills and the next day I had a temperature of 100 and needed extra sleep. I only wanted chicken noodle soup to eat on Sunday. Monday I was fine but had the red itchy arm.
Release 11 — 3 months, dose 3
Symptoms: I had a cold that became a sinus infection and mild bronchitis over Christmas while we were in the (b)(6). Multiple Covid tests were negative.
redacted (b)(6)
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Spent most of the day in bed sleeping.
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 | Bronchitis | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Knee operation | ✓ | ✓ | ✓ |
| SD | Meniscus injury | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Peripheral swelling | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Skin induration | ✓ | ✓ | ✓ |
| SD | Skin reaction | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Dry throat | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
| SRO | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release