5Y5-74296-67361
1 vaccination
3 coded responses
11 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 908 / CA
- Registered
- 2021-07-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-07-28
Registered in v-safe
-
2021-07-28
Dose 1 — Moderna
- 2021-07-28
-
2021-07-29
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Soreness around injection siteMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site reaction, Myalgia — Feeling: GoodFree text: Tender muscles at injection siteMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-07-31
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Light tenderness in injection areaMedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-08-01
- 2021-08-02
- 2021-08-03
- 2021-08-04
- 2021-08-11
- 2021-08-18
- 2021-10-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-28 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Soreness around injection site
Systemic reaction (other): Tender muscles at injection site
Systemic reaction (other): Light tenderness in injection area
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 | Injection site pain | ✓ | · | ✓ |
| SRO | Injection site reaction | ✓ | · | ✓ |
| SRO | Myalgia | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release