5HN-12420-79268
3 vaccinations
5 coded responses
7 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 550 / MN
- Registered
- 2021-11-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Dose 1 — Moderna
-
2021-04-28
Dose 2 — Moderna
-
2021-11-10
Dose 3 — Moderna
-
2021-11-11
Registered in v-safe
-
2021-11-11
Survey response — days 1–6 daily, dose 3MedDRA: Pruritus — Feeling: Fair · Site: Pain, Redness, Itching · FeverFree text: itching on different areas that caused almost raised red areas reaction when scratchedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
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2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot, Injection site pain, Musculoskeletal stiffness — Feeling: Good · Site: Pain, ItchingFree text: Warmer than usual. Back of the neck and some stiffness. Pain is pretty much gone on injection area.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: GoodFree text: All goodMedDRA releases: 2024-11 · check-in free text available
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2021-11-15
Survey response — days 1–6 daily, dose 3MedDRA: Feeling hot, Malaise, Pain, Pruritus — Feeling: Fair · Fever · Muscle or body achesFree text: I don't know if any of this has got to with vaccine. Just felt crappy today. Warmer then usual. Especially the back of my neck and still itchy and body aches.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-16
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2021-11-18
Survey response — day 7, dose 3MedDRA: Feeling hot, Musculoskeletal stiffness, Nasopharyngitis — Feeling: Fair · Fever · Muscle or body achesFree text: Back of the neck warm and stiff. Cold like systemsMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | No |
| 2 | 2021-04-28 | Moderna | No |
| 3 | 2021-11-10 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): itching on different areas that caused almost raised red areas reaction when scratched
Systemic reaction (other): Warmer than usual. Back of the neck and some stiffness. Pain is pretty much gone on injection area.
Systemic reaction (other): All good
Systemic reaction (other): I don't know if any of this has got to with vaccine. Just felt crappy today. Warmer then usual. Especially the back of my neck and still itchy and body aches.
Release 10 — day 7, dose 3
Systemic reaction (other): Back of the neck warm and stiff. Cold like systems
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 | Feeling hot | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Malaise | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release