4M9-83986-75160
4 vaccinations
3 coded responses
28 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction — Feeling: Good · Site: Pain · Muscle or body achesFree text: Just the muscle area around the injection site. Not a problem unless I try to reach up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain, Self-medication — Feeling: GoodFree text: Yesterday was very sore, but v-safe came LATE at night and wouldnt let me respond this morning. Extra strength Tylenol all day yesterday, nothing today. Slight tenderness at injection site, but full range of motion. (I am usually asleep by this time. Can you send them before 9pm?)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
-
2021-02-01
Survey response — day 14, dose 1MedDRA: Rash, Self-medication — Feeling: GoodFree text: One evening. (Last Wednesday or Thursday night?) A rash on both hands, first left, then right. Odd because I never get rashes. Used calendula, took an allergy pill, and was fine the next day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
-
2021-02-15
Dose 2 — Moderna
- 2021-02-15
- 2021-02-22
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-05-17
- 2021-08-16
-
2021-11-08
Dose 3 — Moderna
- 2022-02-15
-
2022-04-11
Dose 4 — Moderna
- 2022-04-24
- 2022-04-25
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-07-11
- 2022-10-10
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-11-08 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Just the muscle area around the injection site. Not a problem unless I try to reach up.
Systemic reaction (other): Yesterday was very sore, but v-safe came LATE at night and wouldnt let me respond this morning. Extra strength Tylenol all day yesterday, nothing today. Slight tenderness at injection site, but full range of motion. (I am usually asleep by this time. Can you send them before 9pm?)
Release 3 — day 14, dose 1
Symptoms: One evening. (Last Wednesday or Thursday night?) A rash on both hands, first left, then right. Odd because I never get rashes. Used calendula, took an allergy pill, and was fine the next day.
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 |
|---|---|---|---|---|
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release