57D-32305-01698
4 vaccinations
8 coded responses
31 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 287 / NC
- Registered
- 2021-03-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-17
Dose 1 — Moderna
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2021-03-18
Registered in v-safe
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2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
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2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Poor · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Just feel a little under the weather.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
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2021-03-22
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Headache, Fatigue or tirednessAdult check-in
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
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2021-04-14
Dose 2 — Moderna
- 2021-04-14
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2021-04-15
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Injection site swelling — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Arm hurts where shot was given with a bump about the size of a silver dollar. I just feel bad and tired. I am taking Advil. Hopefully I will feel better tomorrow.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Redness, Swelling, Itching · Fatigue or tirednessFree text: Every day gets a little betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-04-19
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
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2021-04-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-04-21
- 2021-04-30
- 2021-05-05
- 2021-05-12
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2021-05-21
Survey response — day 35, dose 2MedDRA: Hypersensitivity, Oropharyngeal pain, Sinus disorder — Feeling: FairFree text: Allergies-- sinuses, sore throat ...MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-10-13
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2021-12-17
Dose 3 — Moderna
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2022-12-17
Dose 4 — Moderna
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2022-12-20
Survey response — days 1–6 daily, dose 4MedDRA: Asthenia, Chills, Malaise, Pain in extremity, Peripheral swelling, Pyrexia — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 12/18/22 Day after --- I was very sick... Fever, chills, weak. Yesterday, I began to feel better but my arm still hurt and was swollen.MedDRA releases: 2024-11 · check-in free text available
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2022-12-21
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tirednessFree text: Sore ThroatMedDRA releases: 2024-11 · check-in free text available
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2022-12-22
Survey response — days 1–6 daily, dose 4MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Itching · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore throatMedDRA releases: 2024-11 · check-in free text available
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2022-12-24
Health check-in — day 7, dose 4Feeling: Fair · Site: ItchingFree text: Sore throat is getting better. Shot location on my arm itches a little sometimes.Adult check-in · check-in free text available
- 2022-12-31
- 2023-01-07
- 2023-01-14
- 2023-01-21
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2023-03-18
Survey response — 3 months, dose 4MedDRA: Adverse reaction, Sinus disorder — Feeling: GoodMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-12-17 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Just feel a little under the weather.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Arm hurts where shot was given with a bump about the size of a silver dollar. I just feel bad and tired. I am taking Advil. Hopefully I will feel better tomorrow.
Systemic reaction (other): Every day gets a little better
Release 8 — day 35, dose 2
Symptoms: Allergies-- sinuses, sore throat ...
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): 12/18/22 Day after --- I was very sick... Fever, chills, weak. Yesterday, I began to feel better but my arm still hurt and was swollen.
Systemic reaction (other): Sore Throat
Systemic reaction (other): Sore throat
Release 12 — day 7, dose 4
Systemic reaction (other): Sore throat is getting better. Shot location on my arm itches a little sometimes.
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 | Adverse reaction | · | · | ✓ |
| SD | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Peripheral swelling | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release