4MM-29731-14846
4 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 631 / MO
- Registered
- 2021-04-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-13
Registered in v-safe
-
2021-04-13
Dose 1 — Moderna
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-17
- 2021-04-18
- 2021-04-19
- 2021-04-20
-
2021-04-28
Survey response — day 14, dose 1MedDRA: Pruritus, Urticaria — Feeling: GoodFree text: I had a bout of hives and off and on itching that lasted approx 18 hours on April 25 (late night) and April 26( most of the day).They were primarily on the left side of my body( arm/neck/upper chest/back).My 1st vaccine was on the left arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-04
-
2021-05-12
Dose 2 — Moderna
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches · Be unable to workAdult check-in
-
2021-05-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches · Be unable to workAdult check-in
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-16
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: PainFree text: Periodic dizzy spells off and on all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Bouts of dizziness off and on today( 2 nd day in a row for this)this is NOT normal for meMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Still having random dizzy spells throughout the day. This is NOT normal for me.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Survey response — day 7, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Still had a few dizzy moments..better than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-08-11
- 2021-11-10
-
2022-01-02
Dose 3 — Pfizer-BioNTech
-
2022-11-11
Dose 4 — Pfizer-BioNTechCo-administered: Flu
- 2023-01-02
- 2023-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | |
| 2 | 2021-05-12 | Moderna | |
| 3 | 2022-01-02 | Pfizer-BioNTech | No |
| 4 | 2022-11-11 | Pfizer-BioNTech | Flu |
Free text
Release 8 — day 14, dose 1
Symptoms: I had a bout of hives and off and on itching that lasted approx 18 hours on April 25 (late night) and April 26( most of the day).They were primarily on the left side of my body( arm/neck/upper chest/back).My 1st vaccine was on the left arm.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Periodic dizzy spells off and on all day
Systemic reaction (other): Bouts of dizziness off and on today( 2 nd day in a row for this)this is NOT normal for me
Systemic reaction (other): Still having random dizzy spells throughout the day. This is NOT normal for me.
Release 8 — day 7, dose 2
Systemic reaction (other): Still had a few dizzy moments..better than yesterday
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 | Pruritus | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release