4ZX-60656-34582
3 vaccinations
5 coded responses
36 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 140 / NY
- Registered
- 2021-04-15
- Relationship
- Self
- Race
- White
- Ethnicity
- N/A
Timeline
-
2021-04-15
Registered in v-safe
-
2021-04-15
Dose 1 — Moderna
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Good · Site: Pain · Fever · HeadacheFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-17
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Fever · ChillsFree text: I put ice on the injection site, yesterday. The pain at injection site went away. Took Motrin yesterday and slight headache went away by this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-22
- 2021-04-29
-
2021-05-06
Survey response — day 21, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-13
Dose 2 — Moderna
- 2021-05-13
- 2021-05-14
- 2021-05-15
- 2021-05-16
- 2021-05-17
- 2021-05-19
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-11-11
-
2021-12-21
Dose 3 — Moderna
- 2021-12-23
-
2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Injection site erythema, Injection site pain — Feeling: Good · Site: Pain, Redness · FeverFree text: The pain at injwctiin site is fading due to ice beinf placed on it, very minimally red, red is fading, temperature is very low, I see these as signs the vaccine is working, am feelinf that it will all be gone by tomortow or next day. Not worried.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site pain, Pyrexia — Feeling: Good · FeverFree text: No pain, no redness anymore, at injection site, I have no problem resting if I need too. I suspect the fever will be gone tomorrow. My heart rate and breathing are normal.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-26
- 2021-12-27
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
- 2022-03-22
- 2022-06-21
- 2022-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-15 | Moderna | |
| 2 | 2021-05-13 | Moderna | |
| 3 | 2021-12-21 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): None
Systemic reaction (other): I put ice on the injection site, yesterday. The pain at injection site went away. Took Motrin yesterday and slight headache went away by this morning.
Release 8 — day 21, dose 1
Symptoms: None
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The pain at injwctiin site is fading due to ice beinf placed on it, very minimally red, red is fading, temperature is very low, I see these as signs the vaccine is working, am feelinf that it will all be gone by tomortow or next day. Not worried.
Systemic reaction (other): No pain, no redness anymore, at injection site, I have no problem resting if I need too. I suspect the fever will be gone tomorrow. My heart rate and breathing are normal.
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 | No adverse event | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release