4EU-12444-79791
5 vaccinations
3 coded responses
40 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 750 / TX
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-04
Dose 2 — Moderna
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Rash pruritic, Swelling — Feeling: Good · Site: Redness, SwellingFree text: Day after 2nd dose, had itchy rash with small bumps on my chest. Some tiny bumps still there but no itching since day after shot. Also had some mild thirst and wrist pain the day aftetMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
-
2021-02-11
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The rash is actually almost all gone. I believe I didnt mention it the past couple of days. The bumps from the rash on my chest the day after the shot remained but are almost all gone todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-13
- 2021-03-18
- 2021-05-06
-
2021-08-05
Survey response — 6 months, dose 2MedDRA: Fatigue, Pre-existing disease, Respiratory tract congestion, Sinus disorder — Feeling: Fair · Be unable to work or attend schoolFree text: Congestion. Stuffy head, Sinus issues. Tired. Most likely allergiesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-25
Dose 3 — Moderna
- 2021-10-25
- 2021-10-30
- 2021-11-08
- 2021-12-25
-
2022-04-15
Dose 4 — Moderna
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-20
- 2022-04-24
- 2022-05-01
- 2022-05-15
- 2022-05-20
- 2022-05-27
- 2022-07-17
-
2022-10-03
Dose 5 — Pfizer-BioNTech
- 2022-10-13
- 2022-10-19
- 2022-10-24
- 2022-11-14
- 2023-01-02
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-09-25 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
| 5 | 2022-10-03 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Day after 2nd dose, had itchy rash with small bumps on my chest. Some tiny bumps still there but no itching since day after shot. Also had some mild thirst and wrist pain the day aftet
Release 4 — day 7, dose 2
Systemic reaction (other): The rash is actually almost all gone. I believe I didnt mention it the past couple of days. The bumps from the rash on my chest the day after the shot remained but are almost all gone today
Release 9 — 6 months, dose 2
Symptoms: Congestion. Stuffy head, Sinus issues. Tired. Most likely 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 | Fatigue | ✓ | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Sinus disorder | ✓ | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release