4DP-90492-80357
2 vaccinations
4 coded responses
24 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 296 / SC
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Some tenderness at the injection site, but not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
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2021-03-18
Survey response — day 7, dose 1MedDRA: Injection site pain, Paraesthesia — Feeling: Good · Site: PainFree text: Last night and this morning, I had some tingling in the arm where the vaccine was administered. There was also soreness in the muscle around the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Administration site erythema, Administration site pruritus, Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Itchy red patches on arm where vaccine was administered. Started on 3/22 - vaccine was received on 3/11. Redness has gone down considerably now, but still itchy at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
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2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-17
- 2021-04-22
- 2021-04-30
- 2021-05-07
- 2021-05-17
- 2021-07-08
-
2021-10-12
Survey response — 6 months, dose 2MedDRA: Pre-existing disease, Respiratory tract congestion — Feeling: GoodFree text: Congestion (attributed to allergies)MedDRA releases: 2024-11 · check-in free text available
- 2022-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Some tenderness at the injection site, but not painful
Release 5 — day 7, dose 1
Systemic reaction (other): Last night and this morning, I had some tingling in the arm where the vaccine was administered. There was also soreness in the muscle around the injection site.
Release 6 — day 14, dose 1
Symptoms: Itchy red patches on arm where vaccine was administered. Started on 3/22 - vaccine was received on 3/11. Redness has gone down considerably now, but still itchy at times.
Release 10 — 6 months, dose 2
Symptoms: Congestion (attributed to allergies)
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 | Administration site erythema | ○ | ✓ | ○ |
| SD | Administration site pruritus | ○ | ✓ | ○ |
| SD | Injection site erythema | ✓ | · | ✓ |
| SD | Injection site pruritus | ✓ | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release