4XD-29312-35500
3 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 210 / MD
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
T2Z-23109-47311
Child or adolescent in my care · Male · 2022-06-20
U4K-31277-58327
Child or adolescent in my care · Male · 2022-07-19
Timeline
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Registered in v-safe
-
2021-01-09
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Chills, Fatigue or tirednessAdult check-in
- 2021-01-11
- 2021-01-13
-
2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Dysgeusia — Feeling: GoodFree text: Metallic taste in mouthMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-15
Survey response — day 7, dose 1MedDRA: Pruritus, Urticaria — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Hives and itchingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site swelling, Injection site warmth, Pruritus, Self-medication, Urticaria — Feeling: GoodFree text: Hives, itching all over for about a day on day 6Large circle of redness, swelling, and warmth at the injection site (started new on day 7 after vaccine, resolved after 3 days or so)Took Claritin and Benadryl for a few daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-31
-
2021-02-05
Dose 2 — Moderna
- 2021-02-05
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · 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
-
2021-02-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Taste disorder — Feeling: Good · Site: PainFree text: Brief mild dulling of taste sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
-
2021-02-26
Survey response — day 21, dose 2MedDRA: Paraesthesia — Feeling: GoodFree text: New tingling in both feet, but could have been due to something else (maybe reaction to new foot lotion started around same time)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-05-07
- 2021-08-08
-
2021-10-29
Dose 3 — Moderna
- 2022-02-05
- 2022-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Metallic taste in mouth
Systemic reaction (other): Metallic taste in mouth
Release 2 — day 7, dose 1
Systemic reaction (other): Hives and itching
Release 2 — day 14, dose 1
Symptoms: Hives, itching all over for about a day on day 6Large circle of redness, swelling, and warmth at the injection site (started new on day 7 after vaccine, resolved after 3 days or so)Took Claritin and Benadryl for a few days
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Brief mild dulling of taste sensation
Release 4 — day 21, dose 2
Symptoms: New tingling in both feet, but could have been due to something else (maybe reaction to new foot lotion started around same time)
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Paraesthesia | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Dysgeusia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Taste disorder | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release