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
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2021-02-04
Dose 1 — Moderna
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2021-03-03
Registered in v-safe
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2021-03-04
Dose 2 — Moderna
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2021-03-04
Survey response — day 0, dose 2MedDRA: Rash — Feeling: Good · Site: PainFree 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 bullseyesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Palpitations — Feeling: Poor · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Heart racingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Axillary pain, Lymphadenopathy — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: Pain in the underarm, like swollen lymph nodesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-08
- 2021-03-09
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-11
Survey response — day 7, dose 2MedDRA: Erythema — Feeling: GoodFree 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
- 2021-03-18
- 2021-03-27
- 2021-04-01
- 2021-04-08
- 2021-04-17
- 2021-09-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna |
Free text
Release 5 — day 0, dose 2
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
Systemic reaction (other): Heart racing
Systemic reaction (other): Pain in the underarm, like swollen lymph nodes
Release 5 — day 7, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SRO | Axillary pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Palpitations | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release