454-28519-27877
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 660 / KS
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-26
Dose 2 — Moderna
-
2021-02-27
Registered in v-safe
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Body temperature increased — Feeling: Good · FeverFree text: . Temp is elevated for me. Normally I run high 96s-low 97s. Yesterday temp got to 99.1. Stomach feels offMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Peripheral swelling, Pruritus — Feeling: GoodFree text: I would like to report a reaction I had to my first shot. Eight days after, I woke up with a two inch swollen red lump on the armWhere I received the vaccine. It was extremely itchy and lasted about three days. I have since read that this is being called Covid arm and should be reported. So far I have not had the same reaction after this second shot but it may be too soon since the other reaction didnt appear until day 8.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): . Temp is elevated for me. Normally I run high 96s-low 97s. Yesterday temp got to 99.1. Stomach feels off
Systemic reaction (other): I would like to report a reaction I had to my first shot. Eight days after, I woke up with a two inch swollen red lump on the armWhere I received the vaccine. It was extremely itchy and lasted about three days. I have since read that this is being called Covid arm and should be reported. So far I have not had the same reaction after this second shot but it may be too soon since the other reaction didnt appear until day 8.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release