55M-26865-30069
2 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 334 / FL
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
- 2021-02-06
- 2021-02-07
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2021-02-14
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Injection site started itching on Day 11 post injection and is still itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-21
Survey response — day 21, dose 1MedDRA: Diarrhoea, Injection site pain, Injection site pruritus — Feeling: FairFree text: Had very loose stools ever since my injection site started to itch. It stopped 2 days ago and restarted today. Also the injection site stopped itching 2 days ago but , I had a sharp pain at the site today which went away after 5 minMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-28
Dose 2 — Moderna
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2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Headache, Joint pains, DiarrheaAdult check-in
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Injection site pain, Insomnia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Woke up at 4 AM with pain at injection site and all previously reported symptoms. I feel tired b/c I could not get back to sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling · Headache, DiarrheaAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
- 2021-04-04
- 2021-04-11
- 2021-05-30
- 2021-08-29
- 2022-02-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-28 | Moderna |
Free text
Release 4 — day 14, dose 1
Symptoms: Injection site started itching on Day 11 post injection and is still itchy.
Release 4 — day 21, dose 1
Symptoms: Had very loose stools ever since my injection site started to itch. It stopped 2 days ago and restarted today. Also the injection site stopped itching 2 days ago but , I had a sharp pain at the site today which went away after 5 min
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Woke up at 4 AM with pain at injection site and all previously reported symptoms. I feel tired b/c I could not get back to sleep
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release