4SP-12889-34751
3 vaccinations
3 coded responses
40 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 805 / CO
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-06
Survey response — day 0, dose 1MedDRA: Hot flush, Immediate post-injection reaction — Feeling: GoodFree text: hot flash immediately after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Eye swelling, Self-medication — Feeling: GoodFree text: woke up this morning with slightly swollen undereyes, had dermal filler (Restylane brand) placed in 2012 in undereyes, as well as other filler, but the only area swollen was undereyes, took antihistamine and iced slightly and swelling subsided.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
-
2021-01-20
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site rash — Feeling: GoodFree text: 1.5 weeks post vaccination, developed rash around injection site, red, slightly raised, not itchy, subsided after 2 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
-
2021-02-04
Dose 2 — Moderna
- 2021-02-04
-
2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to workAdult check-in
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Headache, Fatigue or tirednessAdult check-in
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-05-06
- 2021-08-05
-
2021-11-06
Dose 3 — Moderna
-
2021-11-06
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-08
- 2021-11-09
- 2021-11-10
- 2021-11-11
- 2021-11-12
- 2021-11-15
- 2021-11-20
- 2021-11-27
- 2021-12-06
- 2021-12-20
- 2022-02-07
- 2022-05-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): hot flash immediately after injection
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): woke up this morning with slightly swollen undereyes, had dermal filler (Restylane brand) placed in 2012 in undereyes, as well as other filler, but the only area swollen was undereyes, took antihistamine and iced slightly and swelling subsided.
Release 2 — day 14, dose 1
Symptoms: 1.5 weeks post vaccination, developed rash around injection site, red, slightly raised, not itchy, subsided after 2 days
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 rash | ✓ | ✓ | ✓ |
| SRO | Eye swelling | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release