5AB-95396-84882
3 vaccinations
6 coded responses
26 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 206 / MD
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-26
Dose 1 — Moderna
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2021-04-22
Registered in v-safe
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2021-04-23
Dose 2 — Moderna
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2021-04-23
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: The arm pain only last about an hour. Feel fine now (5 hours later)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Sinus disorder — Feeling: Fair · Site: Redness, Itching · HeadacheFree text: The headache may have been weather related sinus issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-04-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Itching · NoneAdult check-in
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2021-04-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: RednessFree text: The redness has gone down significantly. There is no more pain or itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
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2021-05-07
Survey response — day 14, dose 2MedDRA: Erythema, Feeling hot, Pruritus, Skin warm, Swelling, Urticaria — Feeling: FairFree text: Developed a red raised area on my right hip. It started yesterday and has become a raised area about 2x3. Like a welt. It feels hot both internally and externally. It also itches. Not sure if its related to the shot but no other known reMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-05-21
- 2021-05-28
- 2021-06-06
- 2021-07-25
- 2021-10-23
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2021-10-26
Dose 3 — Moderna
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Injection site reaction, Rash erythematous, Rash pruritic — Feeling: Good · Site: Redness, Itching · Fatigue or tirednessFree text: The rash surrounding the shot area has reduced greatly in redness and itchingMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Survey response — days 1–6 daily, dose 3MedDRA: Rash — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Rash is much better on armMedDRA releases: 2024-11 · check-in free text available
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
- 2022-04-26
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna | |
| 2 | 2021-04-23 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 7 — day 0, dose 2
Systemic reaction (other): The arm pain only last about an hour. Feel fine now (5 hours later)
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The headache may have been weather related sinus issues
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): The redness has gone down significantly. There is no more pain or itching.
Release 8 — day 14, dose 2
Symptoms: Developed a red raised area on my right hip. It started yesterday and has become a raised area about 2x3. Like a welt. It feels hot both internally and externally. It also itches. Not sure if its related to the shot but no other known re
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The rash surrounding the shot area has reduced greatly in redness and itching
Systemic reaction (other): Rash is much better on arm
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Skin warm | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
| SRO | Rash erythematous | · | · | ✓ |
| SRO | Rash pruritic | · | · | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release