4EP-17182-19977
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 600 / IL
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
-
2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · NauseaFree text: The nausea was after a PT workout and it was mild and brief. After fluids and a light lunch I was fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-27
Dose 2 — Moderna
-
2021-04-27
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: None, but I had the injection at 10 am and its 3:00 now. Still early in the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-29
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · HeadacheFree text: I had a headache, swelling, soreness and mild itching develop yesterday around the injection site. It has continued today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Itching · Headache, NauseaFree text: These symptoms are mild to non-existent during the day, but increase in the evening. By morning they are gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-04
-
2021-05-11
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: I often have mild headaches In the afternoon or evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
- 2021-06-01
- 2021-06-08
- 2021-07-27
- 2021-10-26
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-27 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): The nausea was after a PT workout and it was mild and brief. After fluids and a light lunch I was fine.
Release 8 — day 0, dose 2
Systemic reaction (other): None, but I had the injection at 10 am and its 3:00 now. Still early in the day.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I had a headache, swelling, soreness and mild itching develop yesterday around the injection site. It has continued today.
Systemic reaction (other): These symptoms are mild to non-existent during the day, but increase in the evening. By morning they are gone.
Release 8 — day 14, dose 2
Symptoms: I often have mild headaches In the afternoon or evening.
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release