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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

  1. 2021-03-23
    Dose 1 — Moderna
  2. 2021-04-20
    Registered in v-safe
  3. 2021-04-20
    Dose 2 — Moderna
  4. 2021-04-20
    Survey response — day 0, dose 2
    MedDRA: Injection site rash — Feeling: Good · Site: Pain, Swelling · Headache
    Free 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
  5. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: 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 activities
    Free text: A bit spaced out
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abnormal dreams, Hot flush, Nasopharyngitis, Restlessness — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Free 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
  7. 2021-04-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pruritus, Rash — Feeling: Good · Site: Pain · Fatigue or tiredness
    Free 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
  8. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-27
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Itching · Rash, not including the immediate area around the injection site
    Adult check-in
  10. 2021-05-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-05-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-06-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-07-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-10-19
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2022-04-22
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-23Moderna
22021-04-20Moderna

Free text

Release 7 — day 0, dose 2

2021-04-20

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

2021-04-21

Systemic reaction (other): A bit spaced out

2021-04-22

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.

2021-04-23

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

FieldPreferred term2021-092023-042024-11
SROAbnormal dreams ✓ ✓ ✓
SROFeeling abnormal · · ✓
SROHot flush ✓ ✓ ✓
SROInjection site rash ✓ ✓ ✓
SRONasopharyngitis ✓ ✓ ✓
SRONo adverse event ✓ ✓ ○
SROPruritus ✓ ✓ ✓
SRORash ✓ ✓ ✓
SRORestlessness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release