45N-14724-50281
6 vaccinations
8 coded responses
64 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 021 / MA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Soreness of armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 1MedDRA: Injection site swelling — Feeling: Good · Site: Redness, SwellingFree text: Swollen where the shot was administered!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-22
Dose 2 — Moderna
- 2021-03-22
-
2021-03-23
Survey response — days 1–6 daily, dose 2MedDRA: Somnolence — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: SleepyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Limb discomfort — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: My left arm where I received the shot felt very heavy last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-20
- 2021-04-26
- 2021-05-03
- 2021-06-21
- 2021-09-20
-
2021-11-13
Dose 3 — Moderna
-
2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Increased appetite, Somnolence — Feeling: GoodFree text: On the of the shot, about 6 hrs later I experience an increase in my appetite, I could not get enough to eat that night. It did go away the next day. Also I was so sleepy, slept very well.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Pain aching in my left footMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-18
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-06
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-02-12
- 2022-05-14
-
2022-05-21
Dose 4 — Moderna
- 2022-05-24
- 2022-05-26
- 2022-05-27
- 2022-05-28
- 2022-06-04
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-07-02
- 2022-08-20
-
2022-10-27
Dose 5 — Moderna
- 2022-10-27
-
2022-10-28
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: Good · Site: SwellingFree text: Arm sore from vaccinationMedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
- 2022-10-30
- 2022-10-31
-
2022-11-01
Survey response — days 1–6 daily, dose 5MedDRA: Fatigue, Somnolence — Feeling: Good · DiarrheaFree text: On the second day fatigue and tire, and very sleepyMedDRA releases: 2024-11 · check-in free text available
- 2022-11-02
- 2022-11-03
-
2022-11-07
Dose 6 — Moderna
- 2022-11-10
- 2022-11-17
- 2022-11-26
- 2022-12-01
- 2022-12-08
- 2023-01-28
- 2023-04-28
- 2023-05-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-22 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
| 4 | 2022-05-21 | Moderna | No |
| 5 | 2022-10-27 | Moderna | No |
| 6 | 2022-11-07 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness of arm
Systemic reaction (other): Swollen where the shot was administered!
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sleepy
Systemic reaction (other): My left arm where I received the shot felt very heavy last night
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On the of the shot, about 6 hrs later I experience an increase in my appetite, I could not get enough to eat that night. It did go away the next day. Also I was so sleepy, slept very well.
Systemic reaction (other): Pain aching in my left foot
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Arm sore from vaccination
Systemic reaction (other): On the second day fatigue and tire, and very sleepy
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 | Fatigue | · | · | ✓ |
| SRO | Increased appetite | · | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release