47Q-28105-51494
6 vaccinations
8 coded responses
63 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 802 / CO
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-07
Dose 1 — Moderna
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-21
- 2021-03-28
-
2021-04-04
Dose 2 — Moderna
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2021-04-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-04-08
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Rash erythematous — Feeling: Good · Site: RednessFree text: I actually noticed a red rash below where I got my injection yesterday after I did my v safe report. I did not notice it yesterday morning but noticed it when I changed my clothes. The rash is much lighter today and it is not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-11
Survey response — day 7, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: RednessFree text: Still having some redness below my injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
- 2021-04-25
- 2021-05-02
- 2021-05-09
- 2021-05-16
- 2021-07-04
- 2021-10-03
-
2021-11-08
Dose 3 — Moderna
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Injection site erythema, Oedema peripheral, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: These symptoms are relieved with Advil for the most part. The redness at the injection site is much more than it was yesterday and I have swelling and soreness in my armpit.MedDRA releases: 2024-11 · check-in free text available
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2021-11-12
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-13
- 2021-11-14
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2022-02-07
-
2022-05-09
Dose 4 — Moderna
- 2022-05-09
-
2022-05-09
Survey response — 6 months, dose 3MedDRA: SARS-CoV-2 test negative, Sinusitis — Feeling: GoodFree text: I had symptoms of a sinus infection for about a month and a half which ended a week ago. I had four negative covid home tests over a couple weeks, and a negative covid test at Kaiser on March 22nd.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-10
- 2022-05-11
-
2022-05-12
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness · Headache, Muscle or body achesAdult check-in
-
2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema — Feeling: Good · Site: Pain, Redness · Rash, not including the immediate area around the injection siteFree text: The redness started around the injection site and now is spreading down toward the inside of my upper arm toward the inside of my upper arm. Is it approximately one and a half to 2 in wide and approximately 2 in longMedDRA releases: 2024-11 · check-in free text available
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2022-05-14
Survey response — days 1–6 daily, dose 4MedDRA: Injection site rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: There is no longer a rash around the injection site but it is down below for the inner part of my arm approximately 2 in by 1 inMedDRA releases: 2024-11 · check-in free text available
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2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Rash — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Rash still present toward inner upper arm approximately 2 in x 2 in lighter than yesterdayMedDRA releases: 2024-11 · check-in free text available
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2022-05-16
Survey response — day 7, dose 4MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on inner side of upper arm still present but much lighter now. Approximately one and a half by 1 and 1/2 inMedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-05-30
- 2022-06-06
- 2022-06-13
- 2022-06-20
- 2022-08-08
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2022-09-22
Dose 5 — Moderna
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-12-22
- 2023-03-23
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2023-04-27
Dose 6 — Other-Unknown
- 2023-05-08
- 2023-05-11
- 2023-05-18
- 2023-05-25
- 2023-06-01
- 2023-06-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-07 | Moderna | |
| 2 | 2021-04-04 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-05-09 | Moderna | No |
| 5 | 2022-09-22 | Moderna | No |
| 6 | 2023-04-27 | Other-Unknown | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I actually noticed a red rash below where I got my injection yesterday after I did my v safe report. I did not notice it yesterday morning but noticed it when I changed my clothes. The rash is much lighter today and it is not painful
Release 7 — day 7, dose 2
Systemic reaction (other): Still having some redness below my injection site
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): These symptoms are relieved with Advil for the most part. The redness at the injection site is much more than it was yesterday and I have swelling and soreness in my armpit.
Release 11 — 6 months, dose 3
Symptoms: I had symptoms of a sinus infection for about a month and a half which ended a week ago. I had four negative covid home tests over a couple weeks, and a negative covid test at Kaiser on March 22nd.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The redness started around the injection site and now is spreading down toward the inside of my upper arm toward the inside of my upper arm. Is it approximately one and a half to 2 in wide and approximately 2 in long
Systemic reaction (other): There is no longer a rash around the injection site but it is down below for the inner part of my arm approximately 2 in by 1 in
Systemic reaction (other): Rash still present toward inner upper arm approximately 2 in x 2 in lighter than yesterday
Release 11 — day 7, dose 4
Systemic reaction (other): Rash on inner side of upper arm still present but much lighter now. Approximately one and a half by 1 and 1/2 in
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 | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Oedema peripheral | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release