5DT-15315-20600
5 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 930 / CA
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Native Hawaiian or other Pacific Islander
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-08
Dose 1 — Moderna
-
2021-04-05
Dose 2 — Moderna
-
2021-04-07
Registered in v-safe
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Rash — Feeling: Good · Site: RednessFree text: I do have a rash and redness but it is not occurring where my second shot was inserted but rather the rash appearance is where my first shot was injected. My second shot in the same arm shows no redness where the injection was.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Rash, Rash erythematous, Self-medication — Feeling: Good · Site: RednessFree text: The only illness I felt was on April 5th at midnight when I got the chills so I took one acetaminophen 500ml and got an extra blanket and then I woke up fine. There is still the rash that appeared yesterday on my arm, but it's not from where my second shot was done but rather the rash appeared in the spot where my first shot was taken on March 8. I fell no pain it's just mildly red.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
- 2021-04-10
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
-
2021-11-10
Dose 3 — Moderna
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia, Somnolence — Feeling: Good · Site: PainFree text: The day after my shot I had a mild fever but I just slept all day and then felt fineMedDRA releases: 2024-11 · check-in free text available
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-15
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
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2022-02-09
Survey response — 3 months, dose 3MedDRA: Herpes zoster — Feeling: GoodFree text: I got shinglesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
-
2022-07-14
Dose 4 — Moderna
- 2022-10-15
- 2023-01-12
-
2023-02-10
Dose 5 — Moderna
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-08 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-07-14 | Moderna | No |
| 5 | 2023-02-10 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I do have a rash and redness but it is not occurring where my second shot was inserted but rather the rash appearance is where my first shot was injected. My second shot in the same arm shows no redness where the injection was.
Systemic reaction (other): The only illness I felt was on April 5th at midnight when I got the chills so I took one acetaminophen 500ml and got an extra blanket and then I woke up fine. There is still the rash that appeared yesterday on my arm, but it's not from where my second shot was done but rather the rash appeared in the spot where my first shot was taken on March 8. I fell no pain it's just mildly red.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day after my shot I had a mild fever but I just slept all day and then felt fine
Release 11 — 3 months, dose 3
Symptoms: I got shingles
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 | Herpes zoster | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release