5FP-19238-44735
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 123 / NY
- Registered
- 2021-01-14
- Relationship
- Self
Timeline
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2021-01-12
Dose 1 — Moderna
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2021-01-14
Registered in v-safe
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2021-01-14
Survey response — days 1–6 daily, dose 1MedDRA: Paraesthesia — Feeling: Good · Site: Pain, RednessFree text: Duay of test piles was racing and head was tingling..for about 6 hours. Fine ever sinceMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
- 2021-01-19
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2021-01-26
Survey response — day 14, dose 1MedDRA: Rash macular, Self-medication — Feeling: FairFree text: Since 1/24 the red blotch on my arm from vaccine shot has grown another circle around it. Blotch is 2 round , outer ring is 5 at its widest. Taking benedryl and icing for 36 hours still hasnt gone away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
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2021-02-09
Dose 2 — Moderna
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2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesAdult check-in
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2021-02-13
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: Good · Site: Redness, SwellingFree text: The redness on my arm is about 6 at is widest in diameter.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-02-18
Survey response — day 7, dose 2MedDRA: Erythema, Paraesthesia — Feeling: Good · Site: Pain, Redness, SwellingFree text: Néw red mark on neck/upper middle shoulder. Tingly reaction not raisedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-09 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Duay of test piles was racing and head was tingling..for about 6 hours. Fine ever since
Release 2 — day 14, dose 1
Symptoms: Since 1/24 the red blotch on my arm from vaccine shot has grown another circle around it. Blotch is 2 round , outer ring is 5 at its widest. Taking benedryl and icing for 36 hours still hasnt gone away.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): The redness on my arm is about 6 at is widest in diameter.
Release 4 — day 7, dose 2
Systemic reaction (other): Néw red mark on neck/upper middle shoulder. Tingly reaction not raised
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 | Rash macular | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release