4UT-14430-70381
4 vaccinations
4 coded responses
40 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 534 / WI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 1 — Moderna
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-14
- 2021-03-18
- 2021-03-23
- 2021-04-01
-
2021-04-06
Dose 2 — Moderna
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-06
- 2021-05-11
- 2021-05-18
- 2021-07-08
- 2021-10-06
-
2021-11-01
Dose 3 — ModernaCo-administered: Flu
-
2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-11-03
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Hyperhidrosis, Injection site warmth — Feeling: GoodFree text: On 11/2 at night i may have been having chills and a moderate level of fatigue. The injection site was hot to the touch. It was from about 11pm to 3am when I woke up sweaty, but fine.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
-
2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Period startedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
-
2021-12-07
Survey response — day 35, dose 3MedDRA: Milk allergy, Pruritus — Feeling: GoodFree text: my skin has been itching, possibly after eating dairy. I've never had a dairy allergy. I've noticed this for about 2-3 weeks but finally identified the possibility of dairy last week. I am planning to do dietary check for allergies.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-13
-
2022-01-31
Survey response — 3 months, dose 3MedDRA: Rash — Feeling: GoodFree text: rashes on arms have continued. Am not sure of the source.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
-
2022-09-28
Dose 4 — ModernaCo-administered: Flu
- 2022-11-01
- 2022-11-01
- 2022-11-02
- 2022-11-09
- 2022-12-30
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-06 | Moderna | |
| 3 | 2021-11-01 | Moderna | Flu |
| 4 | 2022-09-28 | Moderna | Flu |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On 11/2 at night i may have been having chills and a moderate level of fatigue. The injection site was hot to the touch. It was from about 11pm to 3am when I woke up sweaty, but fine.
Systemic reaction (other): Period started
Release 10 — day 35, dose 3
Symptoms: my skin has been itching, possibly after eating dairy. I've never had a dairy allergy. I've noticed this for about 2-3 weeks but finally identified the possibility of dairy last week. I am planning to do dietary check for allergies.
Release 11 — 3 months, dose 3
Symptoms: rashes on arms have continued. Am not sure of the source.
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 | Milk allergy | · | · | ✓ |
| SD | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release