5AB-15134-90315
4 vaccinations
6 coded responses
52 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 012 / MA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
-
2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness, Swelling · HeadacheAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: 9 days after Moderna vaccine, developed a red, swollen, itchy bump about the size of a 50 cent piece at the injection site that lasted for about 4 days. Went away on its own with no further issue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Lethargy — Feeling: Fair · Fatigue or tirednessFree text: Just feel mildly tired and lethargic.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-05-20
-
2021-08-19
Survey response — 6 months, dose 2MedDRA: Abdominal discomfort, Diarrhoea — Feeling: GoodFree text: Had an upset stomach with diarrhea for about 3 days. Entirely unrelated to the vaccine Im sure. Prob something I ate.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-27
Dose 3 — Moderna
- 2021-10-27
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Malaise, Nasopharyngitis — Feeling: Fair · Fever · Chills, Headache, Fatigue or tirednessFree text: Just felt "blah", cold and tired for approximately 18 hrs.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
- 2022-04-27
-
2022-10-13
Dose 4 — ModernaCo-administered: Flu
-
2022-10-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Redness, Swelling · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-15
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Fair · Site: Redness, Swelling, Itching · Muscle or body aches, Fatigue or tirednessFree text: I may have a cold but not sure if I actually do or if it's a reaction to the simultaneous flu and COVID vaccination.MedDRA releases: 2024-11 · check-in free text available
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2022-10-16
Survey response — days 1–6 daily, dose 4MedDRA: Nasopharyngitis — Feeling: Fair · Site: Redness, Swelling, ItchingFree text: Hard to tell - I have a head cold and I got a flu shot at the same time so the symptoms I have co7ld be coming from anywhere. But it's all improved today.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-17
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2022-11-26
- 2023-01-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-10-13 | Moderna | Flu |
Free text
Release 3 — day 14, dose 1
Symptoms: 9 days after Moderna vaccine, developed a red, swollen, itchy bump about the size of a 50 cent piece at the injection site that lasted for about 4 days. Went away on its own with no further issue.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just feel mildly tired and lethargic.
Release 9 — 6 months, dose 2
Symptoms: Had an upset stomach with diarrhea for about 3 days. Entirely unrelated to the vaccine Im sure. Prob something I ate.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Just felt "blah", cold and tired for approximately 18 hrs.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I may have a cold but not sure if I actually do or if it's a reaction to the simultaneous flu and COVID vaccination.
Systemic reaction (other): Hard to tell - I have a head cold and I got a flu shot at the same time so the symptoms I have co7ld be coming from anywhere. But it's all improved today.
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 | Abdominal discomfort | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release