4KM-21020-38660
2 vaccinations
5 coded responses
11 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 917 / CA
- Registered
- 2021-07-10
- Relationship
- Self
- Race
- N/A
- Ethnicity
- N/A
Timeline
-
2021-07-02
Dose 1 — Moderna
-
2021-07-10
Registered in v-safe
- 2021-07-10
-
2021-07-30
Dose 2 — Moderna
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2021-07-30
Survey response — day 0, dose 2MedDRA: Blood pressure decreased, Haemorrhage, Hyperhidrosis, Syncope, Wrong technique in product usage process — Feeling: Poor · Nausea, VomitingFree text: Blood pressure dropped, sweating, fainted and the nurse hit a capillary vein & made me bleed. She needs more training b/c my previous nurse did it correctly, no blood , steady hand.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-07-31
Survey response — days 1–6 daily, dose 2MedDRA: Oropharyngeal pain — Feeling: Poor · Site: Pain, Swelling · Chills, Muscle or body aches, Fatigue or tirednessFree text: Sore throatMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site bruising, Rhinitis allergic — Feeling: Fair · Site: Pain, RednessFree text: Bruising because the nurse did not have a steady & precise hand at administering the vaccine. Also weird nasal allergy like symptoms yesterdayMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-02
Survey response — days 1–6 daily, dose 2MedDRA: Contusion — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Bruise still there.MedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-04
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: ItchingFree text: Took vaccine late only to make sure I got either Moderna/Pfizer but also thought it would be as cumbersome as the COVID FREE test sites always packed so took my time. Mind you Ive worn in 95 mask and respirator throughout the year nonstop.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-05
- 2021-08-08
- 2021-08-13
- 2021-08-27
- 2021-09-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-02 | Moderna | No |
| 2 | 2021-07-30 | Moderna | No |
Free text
Release 9 — day 0, dose 2
Systemic reaction (other): Blood pressure dropped, sweating, fainted and the nurse hit a capillary vein & made me bleed. She needs more training b/c my previous nurse did it correctly, no blood , steady hand.
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Sore throat
Systemic reaction (other): Bruising because the nurse did not have a steady & precise hand at administering the vaccine. Also weird nasal allergy like symptoms yesterday
Systemic reaction (other): Bruise still there.
Systemic reaction (other): Took vaccine late only to make sure I got either Moderna/Pfizer but also thought it would be as cumbersome as the COVID FREE test sites always packed so took my time. Mind you Ive worn in 95 mask and respirator throughout the year nonstop.
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 | Blood pressure decreased | ✓ | · | ✓ |
| SRO | Contusion | ✓ | · | ✓ |
| SRO | Haemorrhage | ✓ | · | ✓ |
| SRO | Hyperhidrosis | ✓ | · | ✓ |
| SRO | Injection site bruising | ✓ | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | · | ✓ |
| SRO | Rhinitis allergic | ✓ | · | ✓ |
| SRO | Syncope | ✓ | · | ✓ |
| SRO | Unevaluable event | ✓ | · | ✓ |
| SRO | Wrong technique in product usage process | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release