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
-
2021-02-27
Registered in v-safe
-
2021-02-27
Dose 1 — Moderna
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2021-02-27
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · None · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: 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 activitiesAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 1MedDRA: 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 activitiesFree text: Blotchy rash on legs and swelling of extremitiesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
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2021-05-29
Survey response — 3 months, dose 1MedDRA: Brain fog, Fatigue, Rash, Rash macular, Swelling, Weight fluctuation — Feeling: Fair · Be unable to do your normal daily activitiesFree 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 stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-31
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2022-03-01
Survey response — 12 months, dose 1MedDRA: Arthritis, Pain of skin — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Still having generalized inflammation and joint and scalp pain that was not present before the vaccinationMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-27 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Blotchy rash on legs and swelling of extremities
Release 8 — 3 months, dose 1
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthritis | · | · | ✓ |
| SD | Brain fog | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Pain of skin | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash macular | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Weight fluctuation | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release