5YE-24318-97150
2 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 907 / CA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
-
2021-02-12
Survey response — day 7, dose 1MedDRA: Back pain, Pain in extremity — Feeling: GoodFree text: I suffer from Neuropathy which causes pain in my back, legs and arms. I dont think that there is more pain from the injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-19
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash, Injection site swelling, Self-medication — Feeling: GoodFree text: Swelling and itching at injection site. Started 9 days after shot. Redness/rash continued to expand over forearm though yesterday. Seems to be lessened today. Applied Hydrocortisone to relieve itching 3 days. Swelling gone yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
-
2021-03-09
Dose 2 — Moderna
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-17
-
2021-03-23
Survey response — day 14, dose 2MedDRA: Injection site pain — Feeling: GoodFree text: Soreness in arm muscle around shot spotMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
-
2022-03-09
Survey response — 12 months, dose 2MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose, sore throatMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): I suffer from Neuropathy which causes pain in my back, legs and arms. I dont think that there is more pain from the injection.
Release 4 — day 14, dose 1
Symptoms: Swelling and itching at injection site. Started 9 days after shot. Redness/rash continued to expand over forearm though yesterday. Seems to be lessened today. Applied Hydrocortisone to relieve itching 3 days. Swelling gone yesterday.
Release 6 — day 14, dose 2
Symptoms: Soreness in arm muscle around shot spot
Release 11 — 12 months, dose 2
Symptoms: Runny nose, sore throat
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release