4FH-20408-11684
3 vaccinations
5 coded responses
28 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 462 / IN
- Registered
- 2021-02-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-16
Registered in v-safe
-
2021-02-16
Dose 1 — Moderna
- 2021-02-16
-
2021-02-17
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Fair · Site: Pain · Joint painsFree text: I have had myasthenia gravis for 25 years.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint painsAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
-
2021-03-02
Survey response — day 14, dose 1MedDRA: Erythema, Immunisation reaction, Pain, Pain in extremity, Pruritus — Feeling: GoodFree text: Covid arm. Redness on day 8 started with a small spot and over 3 days continued to spread in a crescent moon shape across the width of my deltoid. Pain and itching accompanied it. Still sore on day 14 but itching and redness have decreased.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Eyelid ptosis, Pre-existing disease — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Ptosis. I have myasthenia gravis and have been ptosis free for a few years.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · ChillsAdult check-in
- 2021-03-21
-
2021-03-22
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Muscle or body aches, Fatigue or tiredness, Diarrhea, Abdominal painFree text: Covid arm started again this morning. In the arm I got the injection which is the opposite arm I got the first injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 7, dose 2MedDRA: Immunisation reaction — Feeling: Good · Site: Redness, ItchingFree text: Covid armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-06-15
-
2021-08-17
Dose 3 — Moderna
- 2021-09-14
- 2021-11-18
- 2022-02-17
- 2022-08-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-16 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-08-17 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): I have had myasthenia gravis for 25 years.
Release 4 — day 14, dose 1
Symptoms: Covid arm. Redness on day 8 started with a small spot and over 3 days continued to spread in a crescent moon shape across the width of my deltoid. Pain and itching accompanied it. Still sore on day 14 but itching and redness have decreased.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Ptosis. I have myasthenia gravis and have been ptosis free for a few years.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Covid arm started again this morning. In the arm I got the injection which is the opposite arm I got the first injection.
Release 6 — day 7, dose 2
Systemic reaction (other): Covid arm
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 | Erythema | · | · | ✓ |
| SD | Immunisation reaction | · | · | ✓ |
| SD | Pain | ✓ | ✓ | ○ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Eyelid ptosis | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release