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4XR-98003-99624

1 vaccination 3 coded responses 7 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
36-40
ZIP prefix
950 / CA
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Registered in v-safe
  2. 2021-02-27
    Dose 1 — Moderna
  3. 2021-02-27
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Peripheral swelling, Rash, Rash macular — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activities
    Free text: Blotchy rash on legs and swelling of extremities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-15
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-05-29
    Survey response — 3 months, dose 1
    MedDRA: Brain fog, Fatigue, Rash, Rash macular, Swelling, Weight fluctuation — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I had some swelling that caused a rash and a fluctuation in weight when I took the first vaccine and even more with the second and is still present. The blotchy redness is gone everywhere except above my upper lip. Also brain fog and fatigue still
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-08-31
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  9. 2022-03-01
    Survey response — 12 months, dose 1
    MedDRA: Arthritis, Pain of skin — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still having generalized inflammation and joint and scalp pain that was not present before the vaccination
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Blotchy rash on legs and swelling of extremities

Release 8 — 3 months, dose 1

2021-05-29

Symptoms: I had some swelling that caused a rash and a fluctuation in weight when I took the first vaccine and even more with the second and is still present. The blotchy redness is gone everywhere except above my upper lip. Also brain fog and fatigue still cut off by CDC

Release 11 — 12 months, dose 1

2022-03-01

Symptoms: Still having generalized inflammation and joint and scalp pain that was not present before the vaccination

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

FieldPreferred term2021-092023-042024-11
SDArthritis · · ✓
SDBrain fog ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDPain of skin · · ✓
SDRash ✓ ✓ ✓
SDRash macular ✓ ✓ ✓
SDSwelling ✓ ✓ ✓
SDWeight fluctuation ✓ ✓ ✓
SROPeripheral swelling ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORash macular ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release