5C8-49023-82040
3 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 337 / FL
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
KUK-20748-23388
Child or adolescent in my care · Male · 2021-11-07
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-01-12
Survey response — days 1–6 daily, dose 1MedDRA: Injection site erythema, Injection site warmth — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Injection site the red portion is warm to the touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
- 2021-01-15
- 2021-01-22
- 2021-01-29
-
2021-02-02
Dose 2 — Moderna
-
2021-02-02
Survey response — day 0, dose 2MedDRA: Injection site discomfort, Injection site pain — Feeling: Fair · Site: Pain · Joint pains, Fatigue or tirednessFree text: Arm where injection was received is stiff and joints hurt.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-05
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Condition aggravated, Increased viscosity of upper respiratory secretion, Multiple allergies, Paranasal sinus discomfort, Pre-existing disease, Sinusitis — Feeling: Good · Site: Redness · FeverFree text: Sinus pressure and issues, thick mucus like in a sinus infection - started within 12 hours of shot and I had the exact same side effect with the first shot too; I have bad seasonal allergies and frequent sinus infections but Ive never experienced it as quick an onset as with the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Sinus disorder — Feeling: Good · Site: RednessFree text: Still have sinus issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
- 2021-08-03
-
2021-08-21
Dose 3 — Moderna
- 2021-11-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-08-21 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Injection site the red portion is warm to the touch
Release 3 — day 0, dose 2
Systemic reaction (other): Arm where injection was received is stiff and joints hurt.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus pressure and issues, thick mucus like in a sinus infection - started within 12 hours of shot and I had the exact same side effect with the first shot too; I have bad seasonal allergies and frequent sinus infections but Ive never experienced it as quick an onset as with the vaccine
Systemic reaction (other): Still have sinus issues
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 | Condition aggravated | ✓ | ✓ | ✓ |
| SRO | Increased viscosity of upper respiratory secretion | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Multiple allergies | ✓ | ✓ | ✓ |
| SRO | Paranasal sinus discomfort | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release