4VH-83124-70748
4 vaccinations
10 coded responses
54 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 852 / AZ
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Oropharyngeal pain — Feeling: GoodFree text: On day 8 woke up to injection site itching, red and rashy. It continued to grow in size for a few days and then started look better. Currently there is a faint red area. Did report to VAERS. Have had a sore throat for 2 days, no fever.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-08
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Discomfort in armpit of vaccination armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Hyperhidrosis — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Fatigue or tirednessFree text: After having chills at 2:00 am, woke up 3 more times drenched in sweatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-22
- 2021-07-09
- 2021-10-08
-
2021-12-02
Dose 3 — Moderna
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Swollen lymph nodes under arm of injection. Very painful. Do not want to get dressed, can't imagine trying to wear a braMedDRA releases: 2024-11 · check-in free text available
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2021-12-05
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Redness, Swelling · Be unable to do your normal daily activitiesFree text: Enlarged,mpainful lymph nodes under arm that was vaccinatedMedDRA releases: 2024-11 · check-in free text available
-
2021-12-06
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: Fair · Fatigue or tirednessFree text: Swollen sore lymph nodes under arm of injection siteMedDRA releases: 2024-11 · check-in free text available
-
2021-12-07
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: FairFree text: Swollen, sore lymph nodes under arm of vaccination siteMedDRA releases: 2024-11 · check-in free text available
-
2021-12-08
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes under armMedDRA releases: 2024-11 · check-in free text available
-
2021-12-09
Survey response — day 7, dose 3MedDRA: Lymph node pain, Lymphadenopathy — Feeling: GoodFree text: Swollen lymph nodes under arm, no longer painfulMedDRA releases: 2024-11 · check-in free text available
- 2021-12-16
- 2021-12-23
- 2021-12-30
- 2022-01-06
- 2022-01-14
- 2022-03-03
- 2022-06-02
-
2022-09-23
Dose 4 — Moderna
- 2022-09-23
- 2022-09-24
-
2022-09-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-09-26
- 2022-09-27
- 2022-09-28
- 2022-09-29
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
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2022-12-23
Survey response — 3 months, dose 4MedDRA: COVID-19, Cough, Fatigue, Nasal congestion — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Positive for Covid. Mild case, fatigue, stuffy nose, dry coughMedDRA releases: 2024-11 · check-in free text available
- 2023-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2021-12-02 | Moderna | No |
| 4 | 2022-09-23 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: On day 8 woke up to injection site itching, red and rashy. It continued to grow in size for a few days and then started look better. Currently there is a faint red area. Did report to VAERS. Have had a sore throat for 2 days, no fever.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Discomfort in armpit of vaccination arm
Systemic reaction (other): After having chills at 2:00 am, woke up 3 more times drenched in sweat
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swollen lymph nodes under arm of injection. Very painful. Do not want to get dressed, can't imagine trying to wear a bra
Systemic reaction (other): Enlarged,mpainful lymph nodes under arm that was vaccinated
Systemic reaction (other): Swollen sore lymph nodes under arm of injection site
Systemic reaction (other): Swollen, sore lymph nodes under arm of vaccination site
Systemic reaction (other): Swollen lymph nodes under arm
Release 10 — day 7, dose 3
Systemic reaction (other): Swollen lymph nodes under arm, no longer painful
Release 12 — 3 months, dose 4
Symptoms: Positive for Covid. Mild case, fatigue, stuffy nose, dry cough
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release