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4VE-29388-30689

5 vaccinations 3 coded responses 15 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
958 / CA
Registered
2022-10-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-13
    Dose 1 — Moderna
  2. 2021-04-10
    Dose 2 — Moderna
  3. 2021-09-18
    Dose 3 — Moderna
  4. 2022-03-03
    Dose 4 — Moderna
  5. 2022-10-27
    Registered in v-safe
  6. 2022-10-27
    Dose 5 — Moderna
  7. 2022-10-27
    Survey response — day 0, dose 5
    MedDRA: Injection site pain — Feeling: Good
    Free text: Too soon yet after dose for symptoms. Injection site just now starting to feel tender.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-10-28
    Health check-in — days 1–6 daily, dose 5
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2022-10-29
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  10. 2022-10-30
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  11. 2022-10-31
    Survey response — days 1–6 daily, dose 5
    MedDRA: Injection site pruritus, Injection site swelling — Feeling: Good · Site: Swelling, Itching
    Free text: Still very minor bump at injection site, occasional mild itching. Only mentioning it because you're tracking side effects.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-11-01
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain, Itching · None
    Adult check-in
  13. 2022-11-02
    Survey response — days 1–6 daily, dose 5
    MedDRA: Injection site mass, Injection site pain, Injection site pruritus — Feeling: Good · Site: Pain
    Free text: Interestingly, 1wk out, when the injection site is rubbed w/a little pressure, as with putting on lotion, I can feel a very small lump & it's mildly painful. I feel nothing when I'm not touching it. No mild, periodic mild itching today.
    MedDRA releases: 2024-11 · check-in free text available
  14. 2022-11-03
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  15. 2022-11-11
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  16. 2022-11-17
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  17. 2022-11-26
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  18. 2022-12-01
    Health check-in — day 35, dose 5
    Feeling: Fair
    Adult check-in
  19. 2022-12-08
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  20. 2023-01-28
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  21. 2023-04-27
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-13Moderna No
22021-04-10Moderna No
32021-09-18Moderna No
42022-03-03Moderna No
52022-10-27Moderna No

Free text

Release 12 — day 0, dose 5

2022-10-27

Systemic reaction (other): Too soon yet after dose for symptoms. Injection site just now starting to feel tender.

Release 12 — days 1–6 daily, dose 5

2022-10-31

Systemic reaction (other): Still very minor bump at injection site, occasional mild itching. Only mentioning it because you're tracking side effects.

2022-11-02

Systemic reaction (other): Interestingly, 1wk out, when the injection site is rubbed w/a little pressure, as with putting on lotion, I can feel a very small lump & it's mildly painful. I feel nothing when I'm not touching it. No mild, periodic mild itching 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

FieldPreferred term2021-092023-042024-11
SROInjection site mass · · ✓
SROInjection site pain · · ✓
SROInjection site pruritus · · ✓
SROInjection site swelling · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release