4ZM-88257-22170
2 vaccinations
6 coded responses
22 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 770 / TX
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-06
Registered in v-safe
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2021-01-06
Dose 1 — Moderna
- 2021-01-06
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2021-01-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body achesAdult check-in
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2021-01-08
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-01-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on right palm. Noticed on Sunday-small, now size of aspirin. One spot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Pain of skin — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Same as yesterday. Right hand. Size of pencil eraser. StingsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-13
Survey response — day 7, dose 1MedDRA: Pain, Rash, Swelling — Feeling: GoodFree text: Still have that rash on my hand. Still stings and the spot is getting a little larger.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-22
Survey response — day 14, dose 1MedDRA: Blister, Rash — Feeling: GoodFree text: I still have that rash/blister on my right hand.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-03
Dose 2 — Moderna
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2021-02-03
Survey response — day 0, dose 2MedDRA: Fatigue, Hypersomnia, Impaired work ability, Rash — Feeling: Good · Site: Pain · Be unable to workFree text: On 1/25, I woke up very tired, called in work, went back to bed, slept 6.5 hrs. Felt better when woke up. Occurred 19 days after 1st shot. Still have rash on rt hand.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-06
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2021-02-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Muscle or body achesAdult check-in
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
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2021-03-05
Survey response — day 28, dose 2MedDRA: Pyrexia — Feeling: GoodFree text: I have had a low grade fever a couple of times this week. Tuesday at 98.9 and this morning at 99. I am usually 97.9. No other apparent symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Rash on right palm. Noticed on Sunday-small, now size of aspirin. One spot.
Systemic reaction (other): Same as yesterday. Right hand. Size of pencil eraser. Stings
Release 1 — day 7, dose 1
Systemic reaction (other): Still have that rash on my hand. Still stings and the spot is getting a little larger.
Release 2 — day 14, dose 1
Symptoms: I still have that rash/blister on my right hand.
Release 3 — day 0, dose 2
Systemic reaction (other): On 1/25, I woke up very tired, called in work, went back to bed, slept 6.5 hrs. Felt better when woke up. Occurred 19 days after 1st shot. Still have rash on rt hand.
Release 5 — day 28, dose 2
Symptoms: I have had a low grade fever a couple of times this week. Tuesday at 98.9 and this morning at 99. I am usually 97.9. No other apparent symptoms.
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 | Blister | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | · | ✓ |
| SRO | Impaired work ability | ✓ | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain of skin | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release