4F8-10032-24957
3 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 852 / AZ
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
QSS-11481-44157
Child or adolescent in my care · Female · 2021-12-20
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-23
Dose 2 — Moderna
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Neck pain — Feeling: Good · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Pain in armpit and neck glandsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-11-20
Dose 3 — Moderna
- 2021-11-20
-
2021-11-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Fever · Muscle or body achesAdult check-in
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
-
2021-11-27
Survey response — day 7, dose 3MedDRA: Injection site pain, Phantom limb syndrome, Reaction to previous exposure to any vaccine — Feeling: Good · Site: PainFree text: The slight pain in my arm felt like he muscle that got the injection was stung by a bee. It only hurt for a short time. This isn't very similar to the last time I received the moderns shot and I had "phantom" pain every so often for about 4 months.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-02-19
- 2022-05-21
-
2022-11-20
Survey response — 12 months, dose 3MedDRA: Malaise, Nasopharyngitis, Upper-airway cough syndrome — Feeling: GoodFree text: Weird cold like symptoms that didn't go away. I think it lasted about 2 weeks. I am on the last stage of feeling I'll. Now it is just post-nasal drip that don't go away.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-11-20 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Pain in armpit and neck glands
Release 10 — day 7, dose 3
Systemic reaction (other): The slight pain in my arm felt like he muscle that got the injection was stung by a bee. It only hurt for a short time. This isn't very similar to the last time I received the moderns shot and I had "phantom" pain every so often for about 4 months. cut off by CDC
Release 12 — 12 months, dose 3
Symptoms: Weird cold like symptoms that didn't go away. I think it lasted about 2 weeks. I am on the last stage of feeling I'll. Now it is just post-nasal drip that don't go away.
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 | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Upper-airway cough syndrome | · | · | ✓ |
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Phantom limb syndrome | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release