42X-31208-04086
5 vaccinations
8 coded responses
49 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 296 / SC
- Registered
- 2021-03-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-03-23
Registered in v-safe
- 2021-03-23
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2021-03-26
Dose 2 — Moderna
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2021-03-26
Survey response — day 0, dose 2MedDRA: Immediate post-injection reaction, Skin tightness — Feeling: FairFree text: I felt some tightness, kind of like skin stretching, across my upper cheeks about 10 minutes after the shot. I still feel it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Immediate post-injection reaction, Paraesthesia oral, Skin tightness — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: About 10 minutes after I got my shot yesterday I felt some tightness across my upper cheeks that has gone away today. About 2 hours after I got my shot I felt a little tingling in my lower left lip that at that happened maybe twice yesterday and once today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-11
- 2021-04-16
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2021-04-23
Survey response — day 28, dose 2MedDRA: Pruritus — Feeling: GoodFree text: One large give and some itchy patches of skin.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — day 35, dose 2MedDRA: Rash pruritic, Urticaria — Feeling: GoodFree text: Itchy bumps/hives on hands.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-11-05
Dose 3 — Moderna
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2021-11-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-05
- 2021-12-12
- 2021-12-17
- 2022-02-04
- 2022-05-09
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2022-05-21
Dose 4 — Moderna
- 2022-05-21
- 2022-05-22
- 2022-05-23
- 2022-05-26
- 2022-05-27
- 2022-05-29
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2022-06-04
Survey response — day 14, dose 4MedDRA: Urticaria — Feeling: GoodFree text: Swollen welt on arm (not injection arm). I think it could be an insect bite, but I did not note a sting.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-11
- 2022-06-22
- 2022-06-25
- 2022-07-03
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2022-08-20
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I had Covid.MedDRA releases: 2024-11 · check-in free text available
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2022-08-20
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2022-08-22
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2022-08-26
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-11-05
Dose 5 — ModernaCo-administered: Shingles
- 2022-11-19
- 2022-11-19
- 2022-11-26
- 2022-12-03
- 2022-12-10
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2022-12-18
Survey response — day 42, dose 5MedDRA: Localised infection, Peripheral swelling — Feeling: Good · Be unable to do your normal daily activitiesFree text: I have a swollen, infected thumb.MedDRA releases: 2024-11 · check-in free text available
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2023-02-04
Survey response — 3 months, dose 5MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: FairMedDRA releases: 2024-11
- 2023-05-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
| 5 | 2022-11-05 | Moderna | Shingles |
Call center
1 call center case
1 successful
Free text
Release 6 — day 0, dose 2
Systemic reaction (other): I felt some tightness, kind of like skin stretching, across my upper cheeks about 10 minutes after the shot. I still feel it.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): About 10 minutes after I got my shot yesterday I felt some tightness across my upper cheeks that has gone away today. About 2 hours after I got my shot I felt a little tingling in my lower left lip that at that happened maybe twice yesterday and once today.
Release 7 — day 28, dose 2
Symptoms: One large give and some itchy patches of skin.
Release 8 — day 35, dose 2
Symptoms: Itchy bumps/hives on hands.
Release 11 — day 14, dose 4
Symptoms: Swollen welt on arm (not injection arm). I think it could be an insect bite, but I did not note a sting.
Release 12 — 3 months, dose 4
Symptoms: I had Covid.
Release 12 — day 42, dose 5
Symptoms: I have a swollen, infected thumb.
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 | COVID-19 | · | · | ✓ |
| SD | Localised infection | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Peripheral swelling | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Skin tightness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release