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49R-22436-19403

2 vaccinations 3 coded responses 12 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
321 / FL
Registered
2021-02-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-15
    Dose 1 — Moderna
  2. 2021-02-02
    Registered in v-safe
  3. 2021-02-02
    Survey response — day 14, dose 1
    MedDRA: Erythema, Pain in extremity — Feeling: Good
    Free text: After shot, arm hurt for 3 days. Abouts 4-5 days ago small completely round red spot about the size of a dime appeared. Over the next few days it got larger and had an irratic shape perhaps 1-2 inches in some places. Then the shape started to fade.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-12
    Dose 2 — Moderna
  6. 2021-02-12
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site erythema, Injection site induration, Injection site warmth — Feeling: Good
    Free text: Price 2 inches southwest of injection site I have a red circle the size of silver dollar a bit hot and hard. Not itchy nor painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Erythema, Skin warm — Feeling: Good · Site: Redness
    Free text: The red circle has gotten larger but no pain or itchiness. A bit hot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-02-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-02-19
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-08-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-02-12
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-15Moderna
22021-02-12Moderna

Free text

Release 3 — day 14, dose 1

2021-02-02

Symptoms: After shot, arm hurt for 3 days. Abouts 4-5 days ago small completely round red spot about the size of a dime appeared. Over the next few days it got larger and had an irratic shape perhaps 1-2 inches in some places. Then the shape started to fade. cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-13

Systemic reaction (other): Price 2 inches southwest of injection site I have a red circle the size of silver dollar a bit hot and hard. Not itchy nor painful.

2021-02-15

Systemic reaction (other): The red circle has gotten larger but no pain or itchiness. A bit hot.

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

FieldPreferred term2021-092023-042024-11
SDErythema ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site induration ✓ ✓ ✓
SROInjection site warmth ✓ ✓ ✓
SROSkin warm ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release