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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

  1. 2021-04-05
    Dose 1 — Moderna
  2. 2021-05-03
    Dose 2 — Moderna
  3. 2021-12-06
    Dose 3 — Moderna
  4. 2021-12-09
    Registered in v-safe
  5. 2021-12-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Erythema, Feeling hot — Feeling: Good · Site: Pain, Redness
    Free 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
  6. 2021-12-10
    Survey response — days 1–6 daily, dose 3
    MedDRA: Erythema, Pain — Feeling: Good · Site: Pain
    Free 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
  7. 2021-12-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  8. 2021-12-12
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  9. 2021-12-13
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  10. 2021-12-23
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  11. 2021-12-29
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  12. 2022-01-03
    Survey response — day 28, dose 3
    MedDRA: Cough, Nasal congestion, Oropharyngeal pain — Feeling: Fair · Be unable to work or attend school
    Free 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
  13. 2022-01-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  14. 2022-01-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-03-07
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-12-08
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-05Moderna No
22021-05-03Moderna No
32021-12-06Moderna No

Free text

Release 10 — days 1–6 daily, dose 3

2021-12-09

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"

2021-12-10

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

2022-01-03

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDNasal congestion · · ✓
SDOropharyngeal pain · · ✓
SROErythema · · ✓
SROFeeling hot · · ✓
SROPain · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release