4PT-16737-85362
4 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 303 / GA
- Registered
- 2021-01-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Registered in v-safe
-
2021-01-19
Dose 1 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
-
2021-02-02
Survey response — day 14, dose 1MedDRA: Rash pruritic — Feeling: GoodFree text: Ive got a rash on my right arm that started Saturday (Jan. 30). It seems unlikely to be related to the shot but wanted to mention it. It itches a bit and hasnt gone away but seems a little better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
-
2021-02-16
Dose 2 — Moderna
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-21
- 2021-02-22
-
2021-02-24
Health check-in — day 7, dose 2Feeling: Fair · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-03-02
Survey response — day 14, dose 2MedDRA: Pruritus, Rash — Feeling: GoodFree text: Since February 22, Ive had a rash of small bumps covering my left arm from wrist to upper arm. It was also on my right arm but only to wrist. It itched slig but was unsightly and I never typically have rashes so was unusual. Its resolving now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
- 2021-03-24
- 2021-03-30
- 2021-05-18
- 2021-08-17
-
2021-11-02
Dose 3 — Moderna
- 2022-02-18
-
2022-04-25
Dose 4 — Moderna
-
2022-04-28
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-29
- 2022-04-30
- 2022-05-01
- 2022-05-02
- 2022-05-11
- 2022-05-16
- 2022-05-23
- 2022-05-31
-
2022-06-06
Survey response — day 42, dose 4MedDRA: Cough, Dizziness, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Fever, dizziness, sore throat, congestion, coughingMedDRA releases: 2024-11 · check-in free text available
- 2022-07-25
- 2022-10-24
- 2023-04-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-11-02 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Ive got a rash on my right arm that started Saturday (Jan. 30). It seems unlikely to be related to the shot but wanted to mention it. It itches a bit and hasnt gone away but seems a little better today.
Release 4 — day 14, dose 2
Symptoms: Since February 22, Ive had a rash of small bumps covering my left arm from wrist to upper arm. It was also on my right arm but only to wrist. It itched slig but was unsightly and I never typically have rashes so was unusual. Its resolving now.
Release 11 — day 42, dose 4
Symptoms: Fever, dizziness, sore throat, congestion, coughing
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 | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release