5EL-13958-75798
2 vaccinations
3 coded responses
12 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 479 / IN
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
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2021-03-17
Dose 2 — Moderna
-
2021-03-20
Registered in v-safe
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Erythema, Skin warm — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessFree text: Arm redness is growing with heat still in armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-21
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Cheilitis, Decreased appetite, Erythema, Feeling hot, Glossodynia, Hunger, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Sores on and inside lower lip, roof of mouth? And tongue, stomach ache, hungry but not wanting to eat, arm redness finallybetter in some areas, other area still red and some heat in it. Took a Benadryl a couple times. This is the start of day 5. This is going to get better, right?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteAdult check-in
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2021-03-24
Health check-in — day 7, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
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2021-04-01
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Arm is still sore around injection site. Sore under jawline some. Lymph nodes? Its been two weeks. Have not gone to drMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-18
- 2021-09-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Arm redness is growing with heat still in arm
Systemic reaction (other): Sores on and inside lower lip, roof of mouth? And tongue, stomach ache, hungry but not wanting to eat, arm redness finallybetter in some areas, other area still red and some heat in it. Took a Benadryl a couple times. This is the start of day 5. This is going to get better, right?
Release 6 — day 14, dose 2
Symptoms: Arm is still sore around injection site. Sore under jawline some. Lymph nodes? Its been two weeks. Have not gone to dr
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 | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Cheilitis | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Glossodynia | ✓ | ✓ | ✓ |
| SRO | Hunger | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Skin warm | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release