4JG-29839-39930
2 vaccinations
10 coded responses
23 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 191 / PA
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-21
Dose 1 — Moderna
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2021-01-24
Registered in v-safe
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: PainFree text: Itchy sensation in different locations intermittently since 8 hours after the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Still having intermittent itchy sensation in different locations on my bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Still having itchy sensation in different spots on my body. Taking Benadryl.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: GoodFree text: Still having itchy sensation over whole body intermittently.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-28
Survey response — day 7, dose 1MedDRA: Pruritus, Swelling — Feeling: GoodFree text: Still having some itchy sensation throughout body. Some swelling under armpit as the same arm as injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-11
- 2021-02-18
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2021-02-19
Dose 2 — Moderna
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2021-02-19
Survey response — day 0, dose 2MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Slight itchy sensation intermittently different locations on bodyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-21
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · Fatigue or tirednessAdult check-in
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2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: Good · Site: RednessFree text: Swelling under armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling under armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Survey response — day 7, dose 2MedDRA: Oedema peripheral — Feeling: GoodFree text: Swelling under armpitMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-20
- 2021-03-26
- 2021-04-02
- 2021-05-21
- 2021-08-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-19 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Itchy sensation in different locations intermittently since 8 hours after the vaccine
Systemic reaction (other): Still having intermittent itchy sensation in different locations on my body
Systemic reaction (other): Still having itchy sensation in different spots on my body. Taking Benadryl.
Systemic reaction (other): Still having itchy sensation over whole body intermittently.
Release 2 — day 7, dose 1
Systemic reaction (other): Still having some itchy sensation throughout body. Some swelling under armpit as the same arm as injection site.
Release 4 — day 0, dose 2
Systemic reaction (other): Slight itchy sensation intermittently different locations on body
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Systemic reaction (other): Swelling under armpit
Systemic reaction (other): Swelling under armpit
Release 4 — day 7, dose 2
Systemic reaction (other): Swelling under armpit
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 | Dizziness | ✓ | ✓ | ✓ |
| SRO | Oedema peripheral | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release