4VZ-15008-64063
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 953 / CA
- Registered
- 2021-04-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Registered in v-safe
-
2021-04-01
Dose 1 — Moderna
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2021-04-02
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Condition aggravated, Dry skin, Erythema, Injury, Muscle strain, Myalgia, Peripheral swelling, Pre-existing disease, Pruritus, Rash, Urticaria, Vasodilatation, Wound — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: It seems like areas that I had injured and recently recovered from were affected the most. A strained muscle that had fully healed already (1-2 weeks ago) felt strained again. A cut that had almost healed on my leg broke out in a hive- like rash, but only along the mostly healed cut line. My hands which had gotten dry and developed a related rash that I had fully healed with steroid cream a week ago became red and covered in a rash and somewhat swollen & mildly itchy. Additionally (not related to previous injuries), I became much more vascular- my veins were popping out, especially in my hands and wrists. These symptoms started the night I received my shot and have continued, but have become milder as time has gone on. The muscle that was recently strained & healed in my leg started aching the night after I received the vaccine and now is lessening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-05
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: Vasodilatation — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: I am still significantly more vascular (veins popping out / more pronounced) in my hands and wristsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-08
Survey response — day 7, dose 1MedDRA: Vasodilatation — Feeling: Good · Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Increased vascularityMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
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2021-04-29
Dose 2 — Moderna
- 2021-04-29
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2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, NauseaAdult check-in
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2021-05-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-21
- 2021-05-28
- 2021-06-05
- 2021-06-10
- 2021-07-29
- 2021-10-28
- 2022-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): It seems like areas that I had injured and recently recovered from were affected the most. A strained muscle that had fully healed already (1-2 weeks ago) felt strained again. A cut that had almost healed on my leg broke out in a hive- like rash, but only along the mostly healed cut line. My hands which had gotten dry and developed a related rash that I had fully healed with steroid cream a week ago became red and covered in a rash and somewhat swollen & mildly itchy. Additionally (not related to previous injuries), I became much more vascular- my veins were popping out, especially in my hands and wrists. These symptoms started the night I received my shot and have continued, but have become milder as time has gone on. The muscle that was recently strained & healed in my leg started aching the night after I received the vaccine and now is lessening.
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I am still significantly more vascular (veins popping out / more pronounced) in my hands and wrists
Release 7 — day 7, dose 1
Systemic reaction (other): Increased vascularity
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 |
|---|---|---|---|---|
| SRO | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injury | ✓ | ✓ | ✓ |
| SRO | Muscle strain | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
| SRO | Vasodilatation | ✓ | ✓ | ✓ |
| SRO | Wound | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release