4TS-21781-18408
3 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 944 / CA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 1MedDRA: Induration, Rash, Rash pruritic, Skin discolouration, Skin warm — Feeling: GoodFree text: Around day 7 or 8 I developed a red rash patch on my arm near the injection site. Before the red patch showed up that spot had been itchy. It was red and kind of hard and warm for a few days. It's still slightly discolored and unremarkable otherwise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-24
Dose 2 — Moderna
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Good · Site: PainFree text: felt some tingling in the vaccine arm immediately after receiving itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort — Feeling: GoodFree text: I can feel the injection site of the arm where I got the first shot (not second) today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-03-28
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-23
- 2021-09-22
-
2021-11-04
Dose 3 — Moderna
- 2021-11-05
- 2021-11-06
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Free text
Release 5 — day 14, dose 1
Symptoms: Around day 7 or 8 I developed a red rash patch on my arm near the injection site. Before the red patch showed up that spot had been itchy. It was red and kind of hard and warm for a few days. It's still slightly discolored and unremarkable otherwise. cut off by CDC
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): felt some tingling in the vaccine arm immediately after receiving it
Systemic reaction (other): I can feel the injection site of the arm where I got the first shot (not second) today.
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 | Induration | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release