4FS-74338-34232
3 vaccinations
8 coded responses
23 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 925 / CA
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
-
2021-03-02
Survey response — day 0, dose 1MedDRA: Injection site bruising — Feeling: Poor · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: bruise at injection site about the size of a quarterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: quarter size bruise at injection site still presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: Good · Site: Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: bruise at injection site that has about doubled in sizeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: still have a bruise at the injection site - it's now the size of a half dollar coinMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: bruise at injection site remainsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: bruise at injection site still presentMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-10
Survey response — day 7, dose 1MedDRA: Injection site bruising, Rash pruritic — Feeling: Good · Site: Redness, ItchingFree text: bruise at injection site still present but beginning to lighten; circular rash has developed about 2 inches below bruise and has become increasingly itchy as the day has progressedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-16
- 2021-03-25
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-06
- 2021-04-13
- 2021-04-20
-
2021-04-28
Survey response — day 28, dose 2MedDRA: Gastroenteritis — Feeling: Poor · Be unable to work, Be unable to do your normal daily activitiesFree text: GastroenteritisMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-11
- 2021-07-01
-
2021-12-22
Dose 3 — Moderna
- 2022-01-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-12-22 | Moderna | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): bruise at injection site about the size of a quarter
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): quarter size bruise at injection site still present
Systemic reaction (other): bruise at injection site that has about doubled in size
Systemic reaction (other): still have a bruise at the injection site - it's now the size of a half dollar coin
Systemic reaction (other): bruise at injection site remains
Systemic reaction (other): bruise at injection site still present
Release 5 — day 7, dose 1
Systemic reaction (other): bruise at injection site still present but beginning to lighten; circular rash has developed about 2 inches below bruise and has become increasingly itchy as the day has progressed
Release 8 — day 28, dose 2
Symptoms: Gastroenteritis
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 | Gastroenteritis | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release