4KF-38311-20667
3 vaccinations
3 coded responses
37 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 207 / MD
- Registered
- 2021-04-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-23
Registered in v-safe
-
2021-04-23
Dose 1 — Moderna
-
2021-04-23
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Soreness near injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
-
2021-04-29
Survey response — days 1–6 daily, dose 1MedDRA: Hypersensitivity, Pruritus — Feeling: Good · Site: ItchingFree text: Ive been itching since approx. two days after my vaccine. I wasnt sure if it was the salmon I ate but Im stating to feel that I may have been the vaccine. Im itching in my face, arms and legs. I am allergic to Pencillin so not sure if this ingredient is in the vaccine or not. Just wanted to note this.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
- 2021-05-07
- 2021-05-16
- 2021-05-21
-
2021-05-22
Dose 2 — Moderna
-
2021-05-24
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: The fatigue was severe the first 24 hours. It has been two days since the vaccine so not has fatigued today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-05-27
- 2021-05-28
- 2021-05-29
- 2021-06-05
- 2021-06-12
- 2021-06-19
- 2021-06-26
- 2021-07-03
- 2021-08-21
- 2021-11-21
-
2021-12-01
Dose 3 — Moderna
-
2021-12-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-12-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-09
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-07
- 2022-01-13
- 2022-03-03
- 2022-06-01
- 2022-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-23 | Moderna | |
| 2 | 2021-05-22 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Soreness near injection
Release 8 — days 1–6 daily, dose 1
Systemic reaction (other): Ive been itching since approx. two days after my vaccine. I wasnt sure if it was the salmon I ate but Im stating to feel that I may have been the vaccine. Im itching in my face, arms and legs. I am allergic to Pencillin so not sure if this ingredient is in the vaccine or not. Just wanted to note this.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The fatigue was severe the first 24 hours. It has been two days since the vaccine so not has fatigued today.
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release