4N5-53842-61301
3 vaccinations
6 coded responses
14 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 112 / NY
- Registered
- 2021-05-17
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Registered dependents
P3G-23949-72542
Child or adolescent in my care · Male · 2022-06-29
8YT-11415-98748
Child or adolescent in my care · Male · 2022-06-29
Timeline
-
2021-04-18
Dose 1 — Moderna
-
2021-05-16
Dose 2 — Moderna
-
2021-05-17
Registered in v-safe
-
2021-05-17
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site nodule — Feeling: GoodFree text: On injection site first dose of vaccination there is a slight skin protrusion that gets red when it is under the heat or when it is pressed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: RednessFree text: The mild redness on injection site of the first dose vaccination is persistently there with protrusion. Nothing observed for the 2nd dose injection site so far.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling — Feeling: Good · Site: RednessFree text: Still same spot where redness is observed with skin protrusion from first dose injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site reaction — Feeling: Good · Site: RednessFree text: Same as yesterday, first dose injection site has slight redness and skin protrusion. No other side effects from 2nd dose injection site yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema — Feeling: Good · Site: RednessFree text: Redness only on first shot injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Survey response — day 7, dose 2MedDRA: Heavy menstrual bleeding — Feeling: GoodFree text: Extended menstrual period after 2nd doseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-30
- 2021-06-06
- 2021-06-13
- 2021-06-20
- 2021-06-27
- 2021-08-15
- 2021-11-14
-
2022-01-21
Dose 3 — Moderna
- 2022-07-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-18 | Moderna | |
| 2 | 2021-05-16 | Moderna | |
| 3 | 2022-01-21 | Moderna | No |
Free text
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): On injection site first dose of vaccination there is a slight skin protrusion that gets red when it is under the heat or when it is pressed.
Systemic reaction (other): The mild redness on injection site of the first dose vaccination is persistently there with protrusion. Nothing observed for the 2nd dose injection site so far.
Systemic reaction (other): Still same spot where redness is observed with skin protrusion from first dose injection site.
Systemic reaction (other): Same as yesterday, first dose injection site has slight redness and skin protrusion. No other side effects from 2nd dose injection site yet.
Systemic reaction (other): Redness only on first shot injection site.
Release 8 — day 7, dose 2
Systemic reaction (other): Extended menstrual period after 2nd dose
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 | Heavy menstrual bleeding | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release