4AC-25844-88320
2 vaccinations
4 coded responses
20 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 402 / KY
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-17
- 2021-01-21
- 2021-01-22
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site pruritus, Neck pain — Feeling: FairFree text: On Friday evening of 1/22/2021, I had a delayed reaction to the Moderna vaccine. My left arm, where I received the vaccine, started itching and started feeling sore to the touch again. Also, my neck on the right side started hurting. It was painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-12
Dose 2 — Moderna
- 2021-02-12
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-15
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discolouration, Limb discomfort — Feeling: Fair · NauseaFree text: My arm in the injection area is bluishMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-19
-
2021-02-26
Survey response — day 14, dose 2MedDRA: Headache, Sinus headache — Feeling: FairFree text: On the evening of 2/23/2021, I began to have a really bad headache and sinus headache. It continued through the night until about 5-6am in the morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Survey response — day 21, dose 2MedDRA: Gastroenteritis viral — Feeling: GoodFree text: I have felt like I am coming down with a stomach virus.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-19
- 2021-03-26
- 2021-05-14
- 2021-08-15
- 2022-02-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 3 — day 14, dose 1
Symptoms: On Friday evening of 1/22/2021, I had a delayed reaction to the Moderna vaccine. My left arm, where I received the vaccine, started itching and started feeling sore to the touch again. Also, my neck on the right side started hurting. It was painful. cut off by CDC
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My arm in the injection area is bluish
Release 4 — day 14, dose 2
Symptoms: On the evening of 2/23/2021, I began to have a really bad headache and sinus headache. It continued through the night until about 5-6am in the morning.
Release 5 — day 21, dose 2
Symptoms: I have felt like I am coming down with a stomach virus.
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 | Gastroenteritis viral | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Sinus headache | ✓ | ✓ | ✓ |
| SRO | Injection site discolouration | · | · | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release