4XC-16848-08505
3 vaccinations
2 coded responses
41 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 662 / KS
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-07
Dose 1 — Moderna
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Felt itchy last night but no hives or rash.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-21
- 2021-04-28
-
2021-05-05
Dose 2 — Moderna
- 2021-05-05
-
2021-05-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort, Ear discomfort, Ocular discomfort, Sinus congestion — Feeling: GoodFree text: Sinuses are swollen on same side of shot pressure under eye area, behind right ear and neck.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-08-04
- 2021-11-03
-
2021-12-15
Dose 3 — Moderna
- 2021-12-15
-
2021-12-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-12-17
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessAdult check-in
- 2021-12-18
- 2021-12-19
- 2021-12-20
- 2021-12-21
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-01-19
- 2022-01-26
- 2022-03-16
- 2022-06-15
- 2022-12-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-07 | Moderna | |
| 2 | 2021-05-05 | Moderna | |
| 3 | 2021-12-15 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Felt itchy last night but no hives or rash.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sinuses are swollen on same side of shot pressure under eye area, behind right ear and neck.
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 | Discomfort | ✓ | ✓ | ✓ |
| SRO | Ear discomfort | ✓ | ✓ | ✓ |
| SRO | Ocular discomfort | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release