4JE-13368-36830
2 vaccinations
3 coded responses
21 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 349 / FL
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body achesFree text: Soreness to arm at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-11
- 2021-01-13
- 2021-01-15
-
2021-01-16
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site reaction, Injection site warmth, Urticaria — Feeling: Good · Site: RednessFree text: 2 red warm welt around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-23
- 2021-01-30
-
2021-02-03
Dose 2 — Moderna
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Hypoaesthesia oral, Immediate post-injection reaction, Nausea, Paraesthesia oral — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I received 2nd dose on Feb 3rd, 15-20 minutes after injection I experienced numbness to lips and tip of tongue. Gradually went away. That night I experienced nausea throughout night. On Feb 4th I experienced extreme fatigue all day. Felt better on Friday Feb 5th. Today I still feel like a little numbness to lips and tip of tongue but mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-18
- 2021-05-05
- 2021-08-05
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness to arm at injection site
Release 2 — day 7, dose 1
Systemic reaction (other): 2 red warm welt around injection site
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I received 2nd dose on Feb 3rd, 15-20 minutes after injection I experienced numbness to lips and tip of tongue. Gradually went away. That night I experienced nausea throughout night. On Feb 4th I experienced extreme fatigue all day. Felt better on Friday Feb 5th. Today I still feel like a little numbness to lips and tip of tongue but mild.
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 | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia oral | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | · | ✓ |
| SRO | Paraesthesia oral | ○ | ✓ | ○ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release