4SM-29083-63609
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 346 / FL
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-03
Registered in v-safe
- 2021-01-03
- 2021-01-04
-
2021-01-06
Survey response — day 7, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth — Feeling: Poor · Site: Redness, Swelling, ItchingFree text: 8 days out... skin warm, red, swollen, itchy near site of injection. Redness area growing. Size of a softball or just larger area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling, Injection site warmth, Nodule, Self-medication — Feeling: GoodFree text: It started a few days after my vaccine. Wasn't sure related. Developed lump that is movable on top of left big toe. As for day 8 symptoms of injected arm breaking out red, warm, itchy, swollen... that resolved with allergy meds. Toe lump still thereMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
-
2021-01-25
Dose 2 — Moderna
-
2021-01-26
Survey response — days 1–6 daily, dose 2MedDRA: Sneezing — Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sneezing few times an hourMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-08
- 2021-02-15
- 2021-03-03
- 2021-03-09
- 2021-04-26
- 2021-07-28
- 2022-01-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-25 | Moderna |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): 8 days out... skin warm, red, swollen, itchy near site of injection. Redness area growing. Size of a softball or just larger area.
Release 1 — day 14, dose 1
Symptoms: It started a few days after my vaccine. Wasn't sure related. Developed lump that is movable on top of left big toe. As for day 8 symptoms of injected arm breaking out red, warm, itchy, swollen... that resolved with allergy meds. Toe lump still there cut off by CDC
Release 2 — days 1–6 daily, dose 2
Systemic reaction (other): Sneezing few times an hour
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 erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nodule | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release