4XB-34781-25976
3 vaccinations
2 coded responses
16 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 018 / MA
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Registered in v-safe
-
2021-04-14
Dose 1 — Moderna
-
2021-04-14
Survey response — day 0, dose 1MedDRA: Pre-existing disease — Feeling: GoodFree text: I have had hepatitis C for over 15 years and Im on SuboxoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-17
- 2021-04-19
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
-
2021-05-13
Dose 2 — Moderna
-
2021-05-19
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Injection site pruritus, Sleep disorder — Feeling: Good · Site: Itching · Headache, Fatigue or tirednessFree text: I have very mild and slight temporary headaches occasionally they seem to be spaced further apart since Ive had the vaccine almost a week ago also I am still experiencing itching at the injection site possibly because of the sun and I feel slightly more tired than usual but also has gotten better since my sleep has been a little disrupted as wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-08-12
-
2021-10-26
Dose 3 — Moderna
- 2022-05-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): I have had hepatitis C for over 15 years and Im on Suboxone
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): I have very mild and slight temporary headaches occasionally they seem to be spaced further apart since Ive had the vaccine almost a week ago also I am still experiencing itching at the injection site possibly because of the sun and I feel slightly more tired than usual but also has gotten better since my sleep has been a little disrupted as well
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 | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release