4T8-28858-11601
2 vaccinations
2 coded responses
18 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 194 / PA
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Registered in v-safe
-
2021-01-10
Dose 1 — Moderna
- 2021-01-10
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Affective disorder, Diarrhoea, Dizziness, Fatigue, Lip swelling, Pain in extremity, Pruritus, Urticaria — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Not for today. But i did get the chance to say how i felt after the inj. I had diarrhea all night. I became very moody, i was slightly dizzy. I felt like i was getting hives all over. Very itchy. My lips felt like they were swollen. Monday i was just really tired, but the arm pain was horrible. Id say an 7 or 8MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-17
-
2021-01-24
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Almost a contact headache. Horrible stomach pain Friday night to early Saturday morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
- 2021-02-07
-
2021-02-12
Dose 2 — Moderna
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Abdominal painAdult check-in
- 2021-02-16
- 2021-02-17
- 2021-02-20
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-05-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-12 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Not for today. But i did get the chance to say how i felt after the inj. I had diarrhea all night. I became very moody, i was slightly dizzy. I felt like i was getting hives all over. Very itchy. My lips felt like they were swollen. Monday i was just really tired, but the arm pain was horrible. Id say an 7 or 8
Release 2 — day 14, dose 1
Symptoms: Almost a contact headache. Horrible stomach pain Friday night to early Saturday morning.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Affective disorder | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Swelling | ○ | ○ | ○ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release