57E-32585-52713
2 vaccinations
2 coded responses
13 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 295 / SC
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Dose 1 — Moderna
-
2021-02-02
Registered in v-safe
-
2021-02-02
Survey response — day 7, dose 1MedDRA: Wrong technique in product usage process — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Found out the issue was likely to be from the way the shot was given. Instead of being released while it was in the muscle, the vaccine was released while the needle was being withdrawn, possibly causing tissue damage that will probably last a while.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-02-25
Dose 2 — Moderna
-
2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Influenza like illness — Feeling: GoodFree text: Had flu like symptoms for about 24 hours after the shot. Terrible headache as well. No rash this time because I asked them to be sure to release the vaccine in the muscle and not when they were pulling the needle out. Big difference.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-02
- 2021-03-03
- 2021-03-06
- 2021-03-12
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Found out the issue was likely to be from the way the shot was given. Instead of being released while it was in the muscle, the vaccine was released while the needle was being withdrawn, possibly causing tissue damage that will probably last a while.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Had flu like symptoms for about 24 hours after the shot. Terrible headache as well. No rash this time because I asked them to be sure to release the vaccine in the muscle and not when they were pulling the needle out. Big difference.
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 |
|---|---|---|---|---|
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Influenza like illness | ✓ | ✓ | ✓ |
| SRO | Wrong technique in product usage process | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release