464-16701-32594
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 359 / AL
- Registered
- 2021-02-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Registered in v-safe
-
2021-02-09
Dose 1 — Moderna
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-15
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2021-02-18
Survey response — day 7, dose 1MedDRA: Headache, Injection site discolouration, Injection site pruritus, Injection site swelling, Livedo reticularis — Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tirednessFree text: Inside of arms looking mottled today and last night. Woke w slight headache and itchy injection site. Its pink the size of an apple. Took pictures on phone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-23
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site erythema, Vision blurred — Feeling: FairFree text: Blurry vision. Fatigue is back. Injection site remains faintly pink the size of an orange.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-09
Dose 2 — Moderna
- 2021-03-09
-
2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Injection site rash, Injection site reaction, Livedo reticularis, Rash erythematous, Rash pruritic — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Not sure if I should call it rash or not. Its not itchy but it looks like red mottled skin which I experienced following first shot. But this occurred earlier than first and accompanied large red, itchy rash at injection site at that time. Mottling this time is close to injection but not encircling it as with first injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-15
- 2021-03-16
- 2021-03-23
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): Inside of arms looking mottled today and last night. Woke w slight headache and itchy injection site. Its pink the size of an apple. Took pictures on phone.
Release 4 — day 14, dose 1
Symptoms: Blurry vision. Fatigue is back. Injection site remains faintly pink the size of an orange.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Not sure if I should call it rash or not. Its not itchy but it looks like red mottled skin which I experienced following first shot. But this occurred earlier than first and accompanied large red, itchy rash at injection site at that time. Mottling this time is close to injection but not encircling it as with first injection.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site discolouration | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Livedo reticularis | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release