4BJ-11243-24989
2 vaccinations
5 coded responses
27 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 295 / SC
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
- 2021-03-12
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Nausea, Somnolence — Feeling: Good · Fatigue or tiredness, NauseaFree text: My nausea was brief overnight. I was more fatigued than usual and napped this afternoon which is rare for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site cellulitis — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Celluloses a few inches below the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Injection site cellulitis — Feeling: Good · Site: RednessFree text: Celluloses below injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
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2021-05-07
Survey response — day 28, dose 2MedDRA: Arthralgia, Sleep disorder — Feeling: GoodFree text: Shoulder pain on the side of the injection. This has been going on for a few weeks but I wasnt Considering that it may be related to the vaccine initially. The pain is very mild throughout the day but hurts badly when I lay on it at night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-23
-
2021-07-09
Survey response — 3 months, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: I add this here just because there is not an area for persistent issues...My shoulder/upper arm on the side of the vaccine still aches periodically. Thank you for checking in! :)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-10
- 2022-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): My nausea was brief overnight. I was more fatigued than usual and napped this afternoon which is rare for me.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Celluloses a few inches below the injection site.
Systemic reaction (other): Celluloses below injection site
Release 8 — day 28, dose 2
Symptoms: Shoulder pain on the side of the injection. This has been going on for a few weeks but I wasnt Considering that it may be related to the vaccine initially. The pain is very mild throughout the day but hurts badly when I lay on it at night.
Release 9 — 3 months, dose 2
Symptoms: I add this here just because there is not an area for persistent issues...My shoulder/upper arm on the side of the vaccine still aches periodically. Thank you for checking 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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Injection site cellulitis | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release