4SD-26704-23898
2 vaccinations
4 coded responses
6 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 786 / TX
- Registered
- 2021-05-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-05-10
Dose 1 — Moderna
-
2021-05-23
Registered in v-safe
-
2021-05-24
Survey response — day 14, dose 1MedDRA: Fatigue, Rash — Feeling: FairFree text: I have a rash on my left breast and am fatigued easier.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-31
Survey response — day 21, dose 1MedDRA: Streptococcal infection, Throat irritation — Feeling: Fair · Be unable to workFree text: I have strep throat. Burning in my throat. Im on amoxicillin. Im concerned about my second shot since Im on an antibiotic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-07
Dose 2 — Moderna
- 2021-06-22
-
2021-06-28
Survey response — day 21, dose 2MedDRA: Rash, Rash erythematous, Skin discolouration — Feeling: GoodFree text: The rash under my left breast was red after the first shot. It was just discolored until a few days after the second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-14
-
2021-07-21
Survey response — day 42, dose 2MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: FairFree text: The rash below my left breast has never really gone away. It is red and itchy. Some weeks it is better than othersMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-05-10 | Moderna | |
| 2 | 2021-06-07 | Moderna | No |
Free text
Release 8 — day 14, dose 1
Symptoms: I have a rash on my left breast and am fatigued easier.
Release 8 — day 21, dose 1
Symptoms: I have strep throat. Burning in my throat. Im on amoxicillin. Im concerned about my second shot since Im on an antibiotic.
Release 9 — day 21, dose 2
Symptoms: The rash under my left breast was red after the first shot. It was just discolored until a few days after the second shot.
Release 9 — day 42, dose 2
Symptoms: The rash below my left breast has never really gone away. It is red and itchy. Some weeks it is better than others
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Streptococcal infection | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release