528-33277-00766
2 vaccinations
4 coded responses
13 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-23
Dose 1 — Moderna
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2021-04-20
Registered in v-safe
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2021-04-20
Dose 2 — Moderna
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2021-04-20
Survey response — day 0, dose 2MedDRA: Injection site rash — Feeling: Good · Site: Pain, Swelling · HeadacheFree text: After first shot got a rash the size of 3 quarters (25c) near the injection site that looked like a spider bite, without the bite, bumpy and itchy, 4 days after and lasted 3-4 days. With 2nd shot, nothing yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, No adverse event — Feeling: Fair · Site: Pain, Swelling · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: A bit spaced outMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Abnormal dreams, Hot flush, Nasopharyngitis, Restlessness — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Last night I had hot/cold flushes when going to bed and a restless night. Had some very vivid and strange dreams.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Rash on body and legs similar to bites, appeared 10 days after first shot and became itchier after second shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
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2021-04-27
Health check-in — day 7, dose 2Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-05-11
- 2021-05-18
- 2021-05-25
- 2021-06-03
- 2021-07-22
- 2021-10-19
- 2022-04-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-23 | Moderna | |
| 2 | 2021-04-20 | Moderna |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): After first shot got a rash the size of 3 quarters (25c) near the injection site that looked like a spider bite, without the bite, bumpy and itchy, 4 days after and lasted 3-4 days. With 2nd shot, nothing yet.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): A bit spaced out
Systemic reaction (other): Last night I had hot/cold flushes when going to bed and a restless night. Had some very vivid and strange dreams.
Systemic reaction (other): Rash on body and legs similar to bites, appeared 10 days after first shot and became itchier after second shot.
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 |
|---|---|---|---|---|
| SRO | Abnormal dreams | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ○ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Restlessness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release