5YC-17657-30859
3 vaccinations
3 coded responses
12 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 070 / NJ
- Registered
- 2021-12-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-04-05
Dose 1 — Moderna
-
2021-05-03
Dose 2 — Moderna
-
2021-12-06
Dose 3 — Moderna
-
2021-12-09
Registered in v-safe
-
2021-12-09
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Feeling hot — Feeling: Good · Site: Pain, RednessFree text: The redness is approximately two inches below the injection and it feels hot to the touch. The redness is about 3" x 5"MedDRA releases: 2024-11 · check-in free text available
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2021-12-10
Survey response — days 1–6 daily, dose 3MedDRA: Erythema, Pain — Feeling: Good · Site: PainFree text: The redness is gone after the advise from my doctor to put Benadryl cream on the area. Woke up and the redness is gone but there is a brownish shadow left behind. And the mild pain is from that area.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-11
- 2021-12-12
- 2021-12-13
- 2021-12-23
- 2021-12-29
-
2022-01-03
Survey response — day 28, dose 3MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend schoolFree text: Dec 30th late afternoon developed a sore throat. Sunday Jan 2nd my sore throat went away but now I developed stuffy nose and coughing.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
- 2022-01-17
- 2022-03-07
- 2022-12-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-05 | Moderna | No |
| 2 | 2021-05-03 | Moderna | No |
| 3 | 2021-12-06 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The redness is approximately two inches below the injection and it feels hot to the touch. The redness is about 3" x 5"
Systemic reaction (other): The redness is gone after the advise from my doctor to put Benadryl cream on the area. Woke up and the redness is gone but there is a brownish shadow left behind. And the mild pain is from that area.
Release 10 — day 28, dose 3
Symptoms: Dec 30th late afternoon developed a sore throat. Sunday Jan 2nd my sore throat went away but now I developed stuffy nose and coughing.
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 | Cough | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Feeling hot | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release