4TL-29871-60066
3 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 337 / FL
- Registered
- 2021-03-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-03-08
Registered in v-safe
-
2021-03-08
Survey response — day 14, dose 1MedDRA: Injection site induration, Injection site rash, Injection site warmth, Rash papular, Rash pruritic, Self-medication — Feeling: GoodFree text: Eight days following my first dose I experienced the following at and around injection site: 3-4 inch oval/round, raised, hard, warm/hot, itchy rash. Not knowing what to do, I iced it a few times a day, applied calamine lotion. Gone in 4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-19
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
-
2021-03-24
Health check-in — day 7, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-09-17
-
2021-10-27
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Immunisation reaction, Reaction to previous exposure to any vaccine — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: I had "Moderna Arm" with my first & second doses as well.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: Swelling and redness immediately below injection site. Approximately 6 inches in circumference around entire arm.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Muscle or body aches, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-11-03
- 2021-11-12
- 2021-11-19
- 2021-11-24
- 2021-12-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Free text
Release 5 — day 14, dose 1
Symptoms: Eight days following my first dose I experienced the following at and around injection site: 3-4 inch oval/round, raised, hard, warm/hot, itchy rash. Not knowing what to do, I iced it a few times a day, applied calamine lotion. Gone in 4 days.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I had "Moderna Arm" with my first & second doses as well.
Systemic reaction (other): Swelling and redness immediately below injection site. Approximately 6 inches in circumference around entire arm.
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 induration | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release