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4J3-24633-28073

2 vaccinations 4 coded responses 14 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
26-30
ZIP prefix
750 / TX
Registered
2021-03-03
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-04
    Dose 1 — Moderna
  2. 2021-03-03
    Registered in v-safe
  3. 2021-03-04
    Dose 2 — Moderna
  4. 2021-03-04
    Survey response — day 0, dose 2
    MedDRA: Rash — Feeling: Good · Site: Pain
    Free text: 1st covid shot I did experience covid Arm, rash that occur about 4-5 days after then stayed red only around the shot like a bullseyes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Heart racing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Pain in the underarm, like swollen lymph nodes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-03-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · None
    Adult check-in
  9. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-03-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection site
    Adult check-in
  11. 2021-03-11
    Survey response — day 7, dose 2
    MedDRA: Erythema — Feeling: Good
    Free text: Very little redness remains. Not sure why but I removed the bandaid right away after the shot and the imprint is still there just like the first time. Im not allergic to latex or bandaids but both shots have left the bandaid mark. First time took about 3 weeks to fully disappear. Second round its been a week so far and its till there.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-18
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-27
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-01
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-08
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-17
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-02
    Health check-in — 6 months, dose 2
    Feeling: Poor
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-04Moderna
22021-03-04Moderna

Free text

Release 5 — day 0, dose 2

2021-03-04

Systemic reaction (other): 1st covid shot I did experience covid Arm, rash that occur about 4-5 days after then stayed red only around the shot like a bullseyes

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): Heart racing

2021-03-06

Systemic reaction (other): Pain in the underarm, like swollen lymph nodes

Release 5 — day 7, dose 2

2021-03-11

Systemic reaction (other): Very little redness remains. Not sure why but I removed the bandaid right away after the shot and the imprint is still there just like the first time. Im not allergic to latex or bandaids but both shots have left the bandaid mark. First time took about 3 weeks to fully disappear. Second round its been a week so far and its till there.

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

FieldPreferred term2021-092023-042024-11
SROAxillary pain ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SRORash ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release