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
-
2021-01-11
Dose 1 — Moderna
-
2021-02-08
Dose 2 — Moderna
-
2021-02-12
Registered in v-safe
-
2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Peripheral swelling, Pyrexia, Urticaria — Feeling: Good · Site: Pain, Redness, SwellingFree 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
-
2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: GoodFree text: Fever of 100.5 last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-08-09
-
2021-10-22
Dose 3 — Moderna
- 2022-02-08
-
2022-04-03
Dose 4 — Moderna
- 2022-04-27
- 2022-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-03 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
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.
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release