59X-29550-97018
5 vaccinations
4 coded responses
62 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 198 / DE
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-29
Dose 1 — Moderna
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2021-03-31
Registered in v-safe
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2021-03-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-02
- 2021-04-03
- 2021-04-05
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2021-04-12
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site rash, Injection site warmth, Rash papular — Feeling: GoodFree text: April 10 (day 12) developed 6.5cmx6.5cm raised, red, slightly itchy, warm and tender to the touch rash at and below injection site, still have rash todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-19
Survey response — day 21, dose 1MedDRA: Rash — Feeling: GoodFree text: The arm rash that started on day 12 continued to spread until it was about 6inches by 4inches. It began fading again on day 18. And is finally gone on day 21.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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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, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain, Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth — Feeling: Good · Site: Pain, Redness, Swelling · HeadacheFree text: Arm Rash developed below the injection site, 2inches by 4inches, raised, red. Warm, slightly itchy, very tender to the touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Redness, ItchingFree text: Still have arm rashMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
- 2021-05-31
- 2021-06-07
- 2021-07-26
- 2021-10-25
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2021-12-04
Dose 3 — Moderna
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2021-12-04
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-12-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2021-12-06
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-12-07
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
- 2021-12-08
- 2021-12-09
- 2021-12-10
- 2021-12-11
- 2021-12-18
- 2021-12-25
- 2022-01-01
- 2022-01-08
- 2022-01-15
- 2022-03-05
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2022-05-24
Dose 4 — Moderna
- 2022-05-24
-
2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2022-05-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2022-05-27
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2022-05-28
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-08-23
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2022-09-13
Dose 5 — ModernaCo-administered: Flu
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2022-09-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-09-16
- 2022-09-17
- 2022-09-19
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-29 | Moderna | |
| 2 | 2021-04-26 | Moderna | |
| 3 | 2021-12-04 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
| 5 | 2022-09-13 | Moderna | Flu |
Free text
Release 7 — day 14, dose 1
Symptoms: April 10 (day 12) developed 6.5cmx6.5cm raised, red, slightly itchy, warm and tender to the touch rash at and below injection site, still have rash today
Release 7 — day 21, dose 1
Symptoms: The arm rash that started on day 12 continued to spread until it was about 6inches by 4inches. It began fading again on day 18. And is finally gone on day 21.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Arm Rash developed below the injection site, 2inches by 4inches, raised, red. Warm, slightly itchy, very tender to the touch
Systemic reaction (other): Still have arm rash
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 erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release