468-24822-17540
4 vaccinations
7 coded responses
51 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 902 / CA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-26
Dose 1 — Moderna
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2021-03-27
Registered in v-safe
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Muscle or body achesFree text: Slight tenderness 2 inches from the injection site, at the top of the bicep.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
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2021-04-09
Survey response — day 14, dose 1MedDRA: Injection site erythema — Feeling: GoodFree text: On ghe 10th day after vaccination a blotchy red patch appeared below the injection site, towards the bicep. A full 14 days later it is still there. No tenderness or swelling.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
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2021-04-23
Dose 2 — Moderna
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2021-04-23
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fever · Muscle or body achesFree text: Beginning to feel soreness below the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Skin warm, Swelling, Tinnitus, Urticaria — Feeling: Poor · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: The welt below my injection site has grown, it is now 4"×6 and is "hot" and swollen. No redness, yet. I got up to make breakfast, felt faint (ears ringing, lightheaded) so immediately returned to bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Joint pains, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Light headed in the morningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: The red patch below my injection site now almost completely surrounds my arm from 2 inches below the injection site to my elbow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-04
- 2021-07-23
- 2021-10-22
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2021-11-11
Dose 3 — Moderna
- 2021-11-11
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2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: Decreased appetite — Feeling: Poor · Site: Pain · Fever · Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Complete lack of appetite for 72 hours post injection. LMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
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2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2021-12-23
- 2022-02-10
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2022-04-12
Dose 4 — Moderna
- 2022-04-15
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-07-12
- 2022-10-11
- 2023-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-11-11 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Slight tenderness 2 inches from the injection site, at the top of the bicep.
Release 7 — day 14, dose 1
Symptoms: On ghe 10th day after vaccination a blotchy red patch appeared below the injection site, towards the bicep. A full 14 days later it is still there. No tenderness or swelling.
Release 7 — day 0, dose 2
Systemic reaction (other): Beginning to feel soreness below the injection site.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The welt below my injection site has grown, it is now 4"×6 and is "hot" and swollen. No redness, yet. I got up to make breakfast, felt faint (ears ringing, lightheaded) so immediately returned to bed.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Light headed in the morning
Systemic reaction (other): The red patch below my injection site now almost completely surrounds my arm from 2 inches below the injection site to my elbow.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Complete lack of appetite for 72 hours post injection. L
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release