562-32103-17309
2 vaccinations
8 coded responses
22 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 105 / NY
- Registered
- 2021-03-29
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Registered in v-safe
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2021-03-29
Dose 1 — Moderna
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2021-03-29
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · NauseaFree text: I forgot to put yesterday, not sure if I had chills or it was just really particularly cold yesterday inside the house/my room when I got back from getting the vaccine. It was already a few hours later. But my feet were really feeling particularly cold.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: GoodFree text: Just noticed that Ive been feeling really sleepy these past few days since Ive had the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Good · NauseaFree text: Not sure if its my normal bowel movement acting (coz I usually have watery stool), or if its part of the result of the vaccine, but Ive been having watery stool the past few days. So I cant really tel apart.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
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2021-04-05
Survey response — day 7, dose 1MedDRA: Allergy to animal, Dust allergy, Hypersensitivity, Pre-existing disease, Pruritus, Rash, Seasonal allergy — Feeling: Good · Site: Pain, Itching · Fever · Rash, not including the immediate area around the injection siteFree text: The rashes (on my feet) are probably due to my allergies (Im allergic to dust mites, cats and pollen). Im having another allergy test (this time for food) this coming Friday, so Im not taking my allergy meds. Thats why Im probably experiencing rashes/itchiness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Nausea — Feeling: GoodFree text: Swelling, rashes, itchiness, and mild pain on injection site (until around Wed); also, still mild nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
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2021-04-26
Dose 2 — Moderna
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2021-04-26
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Somnolence — Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessFree text: Just itchy in some spots of my body, probably because of other allergens (had these already even before my 2nd dose). Also, very sleepy. Slept the whole day yesterday when I got back home until 1pm today. Same with 1st dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
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2021-05-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Urticaria — Feeling: Fair · Be unable to do your normal daily activitiesFree text: My hives have been flaring up all over my body since yesterday (April 30), right after I came back from my food allergy test and I tested allergic to avocado. I am also allergic to pollen/grass(the lawnmowers were cutting grass when I came home yesterday), cats (I have a cat), and dust mite. So Im not quite sure if the hives were caused by these allergens. Pls also note that on my first dose, the swelling, rashes and itching on the injection site (aside from the pain which came back) came a week after. So Im also not sure if the hives have anything to do with my 2nd dose.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Urticaria — Feeling: GoodFree text: Still having hives but not as strong as the past 2 days. Just really mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-11
- 2021-05-19
- 2021-05-25
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): I forgot to put yesterday, not sure if I had chills or it was just really particularly cold yesterday inside the house/my room when I got back from getting the vaccine. It was already a few hours later. But my feet were really feeling particularly cold.
Systemic reaction (other): Just noticed that Ive been feeling really sleepy these past few days since Ive had the vaccine.
Systemic reaction (other): Not sure if its my normal bowel movement acting (coz I usually have watery stool), or if its part of the result of the vaccine, but Ive been having watery stool the past few days. So I cant really tel apart.
Release 6 — day 7, dose 1
Systemic reaction (other): The rashes (on my feet) are probably due to my allergies (Im allergic to dust mites, cats and pollen). Im having another allergy test (this time for food) this coming Friday, so Im not taking my allergy meds. Thats why Im probably experiencing rashes/itchiness.
Release 7 — day 14, dose 1
Symptoms: Swelling, rashes, itchiness, and mild pain on injection site (until around Wed); also, still mild nausea
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Just itchy in some spots of my body, probably because of other allergens (had these already even before my 2nd dose). Also, very sleepy. Slept the whole day yesterday when I got back home until 1pm today. Same with 1st dose.
Systemic reaction (other): My hives have been flaring up all over my body since yesterday (April 30), right after I came back from my food allergy test and I tested allergic to avocado. I am also allergic to pollen/grass(the lawnmowers were cutting grass when I came home yesterday), cats (I have a cat), and dust mite. So Im not quite sure if the hives were caused by these allergens. Pls also note that on my first dose, the swelling, rashes and itching on the injection site (aside from the pain which came back) came a week after. So Im also not sure if the hives have anything to do with my 2nd dose.
Systemic reaction (other): Still having hives but not as strong as the past 2 days. Just really mild.
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 | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SRO | Allergy to animal | ○ | ✓ | ○ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Dust allergy | ○ | ✓ | ○ |
| SRO | Hypersensitivity | ○ | ✓ | ○ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Seasonal allergy | ○ | ✓ | ○ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release