5BC-33400-37036
4 vaccinations
11 coded responses
51 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 525 / IA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
W84-93323-68843
Adult relative or friend · Male · 2021-12-30
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
- 2021-03-24
- 2021-03-25
- 2021-03-26
- 2021-03-27
- 2021-03-28
- 2021-03-29
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Just been more tired than usual past couple days but not sure it has anything to do with the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
-
2021-04-21
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2021-04-22
Survey response — days 1–6 daily, dose 2MedDRA: Paraesthesia — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Tingling in the faceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site warmth, Rash macular — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Rash, not including the immediate area around the injection siteFree text: Last 2 days I have a red spotted rash on my arms but not real bad. Except for around the injection site. The redness around the injection site has almost tripled in size since yesterday. Still hot to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Joint pains, DiarrheaAdult check-in
-
2021-04-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling, Injection site warmth — Feeling: Good · Site: Redness, SwellingFree text: Around injection site some puffiness. Redness not as bright but still there and has moved down arm a little. But not as hot and no pain now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-20
-
2021-12-28
Dose 3 — Moderna
-
2021-12-30
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Redness, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-31
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Headache — Feeling: Fair · Site: Redness · Headache, Fatigue or tirednessFree text: Headache is not as bad today but still feeling weakMedDRA releases: 2024-11 · check-in free text available
-
2022-01-01
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Swelling, ItchingFree text: Today is betterMedDRA releases: 2024-11 · check-in free text available
- 2022-01-02
- 2022-01-03
- 2022-01-04
- 2022-01-11
- 2022-01-18
-
2022-01-25
Survey response — day 28, dose 3MedDRA: Alopecia — Feeling: GoodFree text: I have been losing a lot of my hair these past couple months. Several others have as well. We have been hearing it is due to these shots. Is this true?MedDRA releases: 2024-11 · check-in free text available
- 2022-02-01
- 2022-02-08
- 2022-03-29
- 2022-06-28
- 2022-12-28
-
2023-02-09
Dose 4 — Moderna
- 2023-02-09
-
2023-02-10
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2023-02-11
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tirednessAdult check-in
-
2023-02-12
Survey response — days 1–6 daily, dose 4MedDRA: Pain, Skin warm, Swelling — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Muscle or body aches, Fatigue or tirednessMedDRA releases: 2024-11
-
2023-02-13
Survey response — days 1–6 daily, dose 4MedDRA: Injection site nodule, Injection site reaction, Injection site swelling, Injection site warmth, Pain in extremity, Rash erythematous — Feeling: Good · Site: Pain, Redness, Itching · Joint pains, Fatigue or tirednessMedDRA releases: 2024-11
- 2023-02-15
-
2023-02-16
Survey response — day 7, dose 4MedDRA: Pain, Tenderness — Feeling: Good · Site: Pain, ItchingMedDRA releases: 2024-11
- 2023-02-23
- 2023-03-02
- 2023-03-09
- 2023-03-16
- 2023-03-23
- 2023-05-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-12-28 | Moderna | No |
| 4 | 2023-02-09 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Just been more tired than usual past couple days but not sure it has anything to do with the shot.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Tingling in the face
Systemic reaction (other): Last 2 days I have a red spotted rash on my arms but not real bad. Except for around the injection site. The redness around the injection site has almost tripled in size since yesterday. Still hot to the touch.
Systemic reaction (other): Around injection site some puffiness. Redness not as bright but still there and has moved down arm a little. But not as hot and no pain now.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Headache is not as bad today but still feeling weak
Systemic reaction (other): Today is better
Release 11 — day 28, dose 3
Symptoms: I have been losing a lot of my hair these past couple months. Several others have as well. We have been hearing it is due to these shots. Is this true?
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 | Alopecia | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site nodule | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | · | · | ✓ |
| SRO | Rash macular | ✓ | ✓ | ✓ |
| SRO | Skin warm | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release