55F-31527-72055
2 vaccinations
3 coded responses
18 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 201 / VA
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-13
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Injection site discolouration, Injection site erythema, Injection site pruritus, Injection site rash — Feeling: GoodFree text: Slight rash upper arm around injection site last Friday-8 days after injection. Minimal itching. Red, slightly raised. On Saturday, just pink area and flat. Gone by Sunday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
- 2021-02-03
-
2021-02-04
Dose 2 — Moderna
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Fatigue, Feeling abnormal, Impaired work ability, Pain, Self-medication — Feeling: Good · Site: PainFree text: Did not work Friday 2/5. Had body aches and fuzzy feeling (in my head) Friday morning. Temp 100.4 at noon resolved with Tylenol- 99.4 at 10pm. Afebrile Saturday 2/6- felt better. Seem a bit more tired than usual this week but able to work without difficultyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-11
Survey response — day 35, dose 2MedDRA: Blood pressure fluctuation — Feeling: GoodFree text: Blood pressure fluctuations- on MetoprololMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-05-08
- 2021-08-05
- 2022-02-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-04 | Moderna |
Free text
Release 2 — day 14, dose 1
Symptoms: Slight rash upper arm around injection site last Friday-8 days after injection. Minimal itching. Red, slightly raised. On Saturday, just pink area and flat. Gone by Sunday.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Did not work Friday 2/5. Had body aches and fuzzy feeling (in my head) Friday morning. Temp 100.4 at noon resolved with Tylenol- 99.4 at 10pm. Afebrile Saturday 2/6- felt better. Seem a bit more tired than usual this week but able to work without difficulty
Release 5 — day 35, dose 2
Symptoms: Blood pressure fluctuations- on Metoprolol
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 | Blood pressure fluctuation | ✓ | ✓ | ✓ |
| SD | Injection site discolouration | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release