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4AC-70955-36043

4 vaccinations 2 coded responses 8 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
100 / NY
Registered
2021-02-12
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Dose 1 — Moderna
  2. 2021-02-08
    Dose 2 — Moderna
  3. 2021-02-12
    Registered in v-safe
  4. 2021-02-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Peripheral swelling, Pyrexia, Urticaria — Feeling: Good · Site: Pain, Redness, Swelling
    Free text: Not today, but I wanted to report that the evening of the day I got the shot I experienced a high fever that went up to 103. The next day it continued though a little lower - between 101 and 102. On day 2 woke up with red sore welts on my upper arm starting where I got the shot and moving down my arm. My arm was also quite swollen. These symptoms have now resolved, but I did want to report them.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Good
    Free text: Fever of 100.5 last night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  7. 2021-02-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-08-09
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-10-22
    Dose 3 — Moderna
  10. 2022-02-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  11. 2022-04-03
    Dose 4 — Moderna
  12. 2022-04-27
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  13. 2022-05-01
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna
32021-10-22Moderna No
42022-04-03Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-12

Systemic reaction (other): Not today, but I wanted to report that the evening of the day I got the shot I experienced a high fever that went up to 103. The next day it continued though a little lower - between 101 and 102. On day 2 woke up with red sore welts on my upper arm starting where I got the shot and moving down my arm. My arm was also quite swollen. These symptoms have now resolved, but I did want to report them.

2021-02-13

Systemic reaction (other): Fever of 100.5 last night

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
SROPeripheral swelling ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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