4WZ-62682-68042
2 vaccinations
8 coded responses
25 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 229 / VA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
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2021-03-27
Dose 1 — Moderna
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2021-03-27
Health check-in — day 0, dose 1Feeling: Good · Fatigue or tiredness · Be unable to workAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · NauseaAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-31
- 2021-04-01
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site rash — Feeling: GoodFree text: There is a series of bumps under the skin around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 7, dose 1MedDRA: Injection site nodule, Injection site reaction, Rash pruritic — Feeling: GoodFree text: The bumps around the site are still there and itch sometimesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-17
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2021-04-24
Dose 2 — Moderna
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2021-04-24
Health check-in — day 0, dose 2Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Arms falling asleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Injection site swelling — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness, NauseaFree text: Bumpy rash almost like cysts in the area around the injection, further spread than the first oneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: Bumps around injection site on upper arm extending from shoulder to elbowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash — Feeling: Good · Site: Itching · Headache, Fatigue or tirednessFree text: Bumps on upper arm around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Fatigue or tirednessFree text: Bumpy rash around injection site, now itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-01
Survey response — day 7, dose 2MedDRA: Injection site rash — Feeling: GoodFree text: Bumpy outbreak at injection site is recedingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-05-29
- 2021-06-05
- 2021-07-24
- 2021-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): There is a series of bumps under the skin around the injection site
Release 6 — day 7, dose 1
Systemic reaction (other): The bumps around the site are still there and itch sometimes
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Arms falling asleep
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Bumpy rash almost like cysts in the area around the injection, further spread than the first one
Systemic reaction (other): Bumps around injection site on upper arm extending from shoulder to elbow
Systemic reaction (other): Bumps on upper arm around injection site
Systemic reaction (other): Bumpy rash around injection site, now itching.
Release 8 — day 7, dose 2
Systemic reaction (other): Bumpy outbreak at injection site is receding
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 | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | ✓ | ✓ | ○ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release