5KJ-21351-69168
5 vaccinations
7 coded responses
44 check-ins
7 free-text entries
2 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 206 / MD
- Registered
- 2021-02-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-26
Dose 1 — Moderna
-
2021-02-27
Registered in v-safe
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
-
2021-03-12
Survey response — day 14, dose 1MedDRA: Feeling hot, Pruritus, Self-medication — Feeling: GoodFree text: My shot arm became itchy and warm for three days. Things are fine now and I was able to manage the itchiness with an antihistamine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-25
Dose 2 — Moderna
-
2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Nausea, DiarrheaAdult check-in
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, DiarrheaAdult check-in
-
2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Swelling, Itching · Headache, NauseaAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · Muscle or body aches, NauseaAdult check-in
-
2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness, NauseaAdult check-in
-
2021-04-01
Health check-in — day 7, dose 2Feeling: Fair · Site: Itching · Chills, Headache, Muscle or body achesAdult check-in
-
2021-04-08
Survey response — day 14, dose 2MedDRA: Myalgia, Nausea — Feeling: GoodFree text: Nausea and muscle achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
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2021-04-22
Survey response — day 28, dose 2MedDRA: Office visit, Rash — Feeling: Fair · Get care from a doctor or other healthcare professional · HospitalizationFree text: Symptoms: I have a rash from poison ivy that is being treated with steroids. · Healthcare visit (other): Visit to doctors officeMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-22
Report sent to call center — day 28, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-29
Survey response — day 35, dose 2MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: Fair · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: The rash from poison ivy is expanded across my chest and left side of face. Taking steroids that have helped with the redness but not the itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-29
Report sent to call center — day 35, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-05-06
-
2021-06-24
Survey response — 3 months, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Yes I found out I have a Anagal and am adjusting my diet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-23
-
2021-10-23
Dose 3 — Moderna
- 2021-10-29
- 2021-10-30
-
2021-11-06
Survey response — day 14, dose 3MedDRA: Injection site swelling, Insomnia, Pain in extremity — Feeling: FairFree text: My arm is still a bit sore after 2 weeks, I also have a bump where they gave me the booster. I've also had a harder time sleeping the last 2 weeks, not sure it's related but thought I'd mention it.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-11
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-05-02
Dose 4 — Moderna
- 2022-05-18
- 2022-05-23
-
2022-05-30
Survey response — day 28, dose 4MedDRA: Hypersensitivity — Feeling: GoodFree text: I had an allergic reaction to something I ate.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-06
- 2022-06-13
- 2022-08-01
-
2022-09-30
Dose 5 — ModernaCo-administered: Flu
- 2022-10-31
- 2022-10-31
- 2022-11-04
- 2022-11-11
- 2022-12-30
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-26 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-05-02 | Moderna | No |
| 5 | 2022-09-30 | Moderna | Flu |
Call center
2 call center cases
2 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — day 14, dose 1
Symptoms: My shot arm became itchy and warm for three days. Things are fine now and I was able to manage the itchiness with an antihistamine.
Release 7 — day 14, dose 2
Symptoms: Nausea and muscle aches
Release 7 — day 28, dose 2
Symptoms: I have a rash from poison ivy that is being treated with steroids.
Healthcare visit (other): Visit to doctors office
Release 8 — day 35, dose 2
Symptoms: The rash from poison ivy is expanded across my chest and left side of face. Taking steroids that have helped with the redness but not the itching.
Release 9 — 3 months, dose 2
Symptoms: Yes I found out I have a Anagal and am adjusting my diet.
Release 10 — day 14, dose 3
Symptoms: My arm is still a bit sore after 2 weeks, I also have a bump where they gave me the booster. I've also had a harder time sleeping the last 2 weeks, not sure it's related but thought I'd mention it.
Release 11 — day 28, dose 4
Symptoms: I had an allergic reaction to something I ate.
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 |
|---|---|---|---|---|
| HCVO | Office visit | ✓ | ✓ | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Hypersensitivity | · | · | ✓ |
| SD | Injection site swelling | · | · | ✓ |
| SD | Insomnia | · | · | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release