4QZ-20360-30064
4 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 020 / MA
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
-
2021-02-06
Health check-in — day 7, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-08
- 2021-02-17
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
-
2021-03-08
Survey response — day 14, dose 2MedDRA: Erythema, Immunisation reaction, Skin warm — Feeling: GoodFree text: COVID rash on injected arm (not at injection site). Approx 8 inches x 4 inches. Red, warm, sore to touch. Has since resolved. Had this with my 1st injection too.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-15
Survey response — day 21, dose 2MedDRA: Ear pain, Headache, Neck pain, Pain in jaw — Feeling: Good · Be unable to do your normal daily activitiesFree text: Week of 3/1 and 3/8 I had severe neck pain and intermittent headaches. Neck pain/jaw discomfort/ear pain/headache were all on the R side (same side as vaccine). I am NOT a person that gets headaches at all. Pretty much resolved now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-26
-
2021-11-09
Dose 3 — ModernaCo-administered: Flu
- 2022-02-24
-
2022-05-28
Dose 4 — Moderna
- 2022-05-28
-
2022-05-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-05-30
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema, Injection site induration, Injection site warmth — Feeling: Good · Site: Pain, Redness, SwellingFree text: Injection site is red, hard and warmMedDRA releases: 2024-11 · check-in free text available
-
2022-05-31
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-06-01
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-06-02
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2022-06-03
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2022-06-04
Health check-in — day 7, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-07-02
- 2022-07-09
- 2022-08-27
- 2022-11-26
- 2023-05-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-11-09 | Moderna | Flu |
| 4 | 2022-05-28 | Moderna | No |
Free text
Release 5 — day 14, dose 2
Symptoms: COVID rash on injected arm (not at injection site). Approx 8 inches x 4 inches. Red, warm, sore to touch. Has since resolved. Had this with my 1st injection too.
Release 5 — day 21, dose 2
Symptoms: Week of 3/1 and 3/8 I had severe neck pain and intermittent headaches. Neck pain/jaw discomfort/ear pain/headache were all on the R side (same side as vaccine). I am NOT a person that gets headaches at all. Pretty much resolved now.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Injection site is red, hard and warm
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Erythema | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Neck pain | ✓ | ✓ | ✓ |
| SD | Pain in jaw | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release