4YZ-46419-85396
2 vaccinations
4 coded responses
15 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 480 / MI
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
-
2021-03-09
Dose 2 — Moderna
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Very sore arm where the shot was givenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · HeadacheFree text: Sore arm by injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
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2021-03-23
Survey response — day 14, dose 2MedDRA: Pruritus, Self-medication — Feeling: GoodFree text: I have been experiencing itching on my face, legs, back and stomach. I was not sure if this is a side effect of the vaccine or not. I have been taking Benadryl to help with the itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
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2021-04-13
Survey response — day 35, dose 2MedDRA: Headache — Feeling: GoodFree text: I had striking/shooting pains in my head twice. I had never experienced this type of pain before. I am monitoring the frequency of the pains. If the pains continue, I will seek medical help.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-06-08
- 2021-09-07
- 2022-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Very sore arm where the shot was given
Systemic reaction (other): Sore arm by injection site.
Release 6 — day 14, dose 2
Symptoms: I have been experiencing itching on my face, legs, back and stomach. I was not sure if this is a side effect of the vaccine or not. I have been taking Benadryl to help with the itching.
Release 7 — day 35, dose 2
Symptoms: I had striking/shooting pains in my head twice. I had never experienced this type of pain before. I am monitoring the frequency of the pains. If the pains continue, I will seek medical help.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release