623-18359-12780
2 vaccinations
7 coded responses
20 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 142 / NY
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-05
Registered in v-safe
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia — Feeling: Good · Site: PainFree text: I got the shot yesterday at 11:00 a.m. and I had some muscle aches later in the evening, but nothing at all today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 1MedDRA: Feeling hot, Pyrexia — Feeling: Fair · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I felt hot like I had a fever, but I didn't. I slept 4 hours in the middle of the day. I woke up feeling feverish but feel fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-19
- 2021-03-25
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2021-04-01
Dose 2 — Moderna
- 2021-04-01
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Fair · Site: Pain · Muscle or body aches, Rash, not including the immediate area around the injection siteFree text: I had a mild rash on side of my neck and part of my chest this morning. It has faded a bit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree text: Light to medium red even looking rash on the left side of my neck and extending to my upper chest, a deeper mottled rash on inside, front and back of my right ankle. It doesn't hurt or itch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash on neck and face, ankle rt leg, it is neither painful now itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Cystitis, Medical counselling — Feeling: Poor · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Systemic reaction (other): I have a bladder infection. Particularly bad for me, been to ER name times, in hosp 2x for 2 weeks. These names sptoms are a result of that · Healthcare visit (other): Called gp, prescribed antibioticMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Report sent to call center — days 1–6 daily, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-04-08
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The rash on my neck chest and ankle is nearly gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2022-03-22
- 2022-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Call center
1 call center case
1 unsuccessful
1 wait over 3 months for a first call
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): I got the shot yesterday at 11:00 a.m. and I had some muscle aches later in the evening, but nothing at all today.
Systemic reaction (other): I felt hot like I had a fever, but I didn't. I slept 4 hours in the middle of the day. I woke up feeling feverish but feel fine now.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I had a mild rash on side of my neck and part of my chest this morning. It has faded a bit.
Systemic reaction (other): Light to medium red even looking rash on the left side of my neck and extending to my upper chest, a deeper mottled rash on inside, front and back of my right ankle. It doesn't hurt or itch.
Systemic reaction (other): Rash on neck and face, ankle rt leg, it is neither painful now itchy.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I have a bladder infection. Particularly bad for me, been to ER name times, in hosp 2x for 2 weeks. These names sptoms are a result of that
Healthcare visit (other): Called gp, prescribed antibiotic
Release 7 — day 7, dose 2
Systemic reaction (other): The rash on my neck chest and ankle is nearly gone.
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 | Medical counselling | ✓ | ✓ | ✓ |
| SRO | Cystitis | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release