4NB-25346-20342
3 vaccinations
7 coded responses
24 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Soreness at injection site 2days onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Soreness at injection site 2 days onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Soreness at injection site 2days onlyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-18
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Therapeutic response unexpected — Feeling: GoodFree text: Itching at injection site then a 2inch oval rash just below injection site on 2/13/21. Applied ice pack..itching stopped and rash barely visible next day 2/14/21.then gone 2/15/21! I have psoriactic arthritis. Feel great since then. Thank you!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-02
Dose 2 — Moderna
-
2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Fatigue or tirednessAdult check-in
-
2021-03-04
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite, Fatigue — Feeling: GoodFree text: Yesterday March 4- slight loss of appetite + tremendous fatigue and was in bed from 1:15p-6:30a..17hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Ear discomfort, Influenza like illness, Nasal congestion, Upper-airway cough syndrome — Feeling: GoodFree text: 3-4 Right ear blocked a few hours, then a little nasal congestion and drip...flu-like..then gone by bedtime. Thank youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
- 2021-03-24
- 2021-03-31
- 2021-04-06
- 2021-04-14
- 2021-06-01
- 2021-08-31
-
2021-10-03
Dose 3 — ModernaCo-administered: Flu
- 2021-10-26
- 2021-10-31
- 2021-11-08
- 2021-11-14
- 2022-01-02
-
2022-04-04
Survey response — 6 months, dose 3MedDRA: Injection site pain — Feeling: GoodFree text: Every now and then a soreness at the injection site that lasts for a minute or two.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-02 | Moderna | |
| 3 | 2021-10-03 | Moderna | Flu |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness at injection site 2days only
Systemic reaction (other): Soreness at injection site 2 days only
Systemic reaction (other): Soreness at injection site 2days only
Release 4 — day 14, dose 1
Symptoms: Itching at injection site then a 2inch oval rash just below injection site on 2/13/21. Applied ice pack..itching stopped and rash barely visible next day 2/14/21.then gone 2/15/21! I have psoriactic arthritis. Feel great since then. Thank you!
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday March 4- slight loss of appetite + tremendous fatigue and was in bed from 1:15p-6:30a..17hrs
Systemic reaction (other): 3-4 Right ear blocked a few hours, then a little nasal congestion and drip...flu-like..then gone by bedtime. Thank you
Release 11 — 6 months, dose 3
Symptoms: Every now and then a soreness at the injection site that lasts for a minute or two.
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 | Injection site pain | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Therapeutic response unexpected | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release