4Z8-22964-58995
4 vaccinations
9 coded responses
51 check-ins
9 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 194 / PA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-02-04
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2021-02-11
Survey response — day 21, dose 1MedDRA: Lacrimation increased, Rhinorrhoea, Throat irritation, Upper-airway cough syndrome — Feeling: GoodFree text: Constant runny nose, watery consistency; irritated throat due to post nasal drip. Resolved completely in about 24 hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Dose 2 — Moderna
- 2021-02-16
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-05-18
- 2021-08-17
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2021-10-25
Dose 3 — Moderna
- 2021-10-26
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2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema — Feeling: GoodFree text: Redness about 3 inches below injection siteMedDRA releases: 2024-11 · check-in free text available
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2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site warmth — Feeling: GoodFree text: Red/warm upper arm a couple of inches below the injection site is larger today than yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site warmth — Feeling: GoodFree text: Red and warm on upper arm about 3 inches below injection site. Area continues to enlarge, now about 4x5 inchesMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site warmth — Feeling: GoodFree text: Red and warm area, about 5 inches square, about 3 inches below the injection site on the same armMedDRA releases: 2024-11 · check-in free text available
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Immunisation reaction, Skin warm — Feeling: GoodFree text: Covid arm is fading, no longer warm to touchMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — day 7, dose 3MedDRA: Immunisation reaction — Feeling: GoodFree text: Only a faint outline of the Covid arm reaction remains, and it's not at all warmMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-25
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2022-06-04
Dose 4 — Moderna
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2022-06-08
Survey response — days 1–6 daily, dose 4MedDRA: Immunisation reaction, Injection site reaction, Vaccine positive rechallenge — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: "Covid arm" below the injection site, happened after shots 2 and 3, and now after 4. Didn't look after the first shot.MedDRA releases: 2024-11 · check-in free text available
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2022-06-09
Health check-in — days 1–6 daily, dose 4Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2022-06-10
- 2022-06-11
- 2022-06-18
- 2022-06-25
- 2022-07-02
- 2022-07-09
- 2022-07-16
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2022-09-03
Survey response — 3 months, dose 4MedDRA: Cellulitis — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visit, HospitalizationFree text: Cellulitis in right legMedDRA releases: 2024-11 · check-in free text available
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2022-09-03
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalEmergency room or emergency department visit · Hospitalization · 1 call case(s)
- 2022-09-08
- 2022-12-03
- 2023-06-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-16 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-06-04 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 4 — day 21, dose 1
Symptoms: Constant runny nose, watery consistency; irritated throat due to post nasal drip. Resolved completely in about 24 hours
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Redness about 3 inches below injection site
Systemic reaction (other): Red/warm upper arm a couple of inches below the injection site is larger today than yesterday
Systemic reaction (other): Red and warm on upper arm about 3 inches below injection site. Area continues to enlarge, now about 4x5 inches
Systemic reaction (other): Red and warm area, about 5 inches square, about 3 inches below the injection site on the same arm
Systemic reaction (other): Covid arm is fading, no longer warm to touch
Release 10 — day 7, dose 3
Systemic reaction (other): Only a faint outline of the Covid arm reaction remains, and it's not at all warm
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): "Covid arm" below the injection site, happened after shots 2 and 3, and now after 4. Didn't look after the first shot.
Release 12 — 3 months, dose 4
Symptoms: Cellulitis in right leg
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 | Cellulitis | · | · | ✓ |
| SD | Lacrimation increased | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SD | Upper-airway cough syndrome | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Skin warm | · | · | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release