63G-27302-43351
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 117 / NY
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-18
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
-
2021-03-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-25
- 2021-04-01
- 2021-04-08
-
2021-04-15
Dose 2 — Moderna
- 2021-04-15
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Fatigue, Feeling hot — Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessFree text: Last night my face felt warm but ni fever. I also had a stomach ache after midnjght but that subsided in about an hour. Although thevtiredness was mild, it was slightly more than mild but less than moderate in the later afternoon. I felt much less fatigued after havinf an warly dinner.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-18
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pruritus, Pruritus — Feeling: Good · Site: ItchingFree text: I have had a very mild itching on my left side as well as at the injection site since the day I had the vaccine. There has been no rash, just a very slight occasional itch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-21
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Still have slight itching on my lower left side onmy back above the waist.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-07-15
- 2021-10-14
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-18 | Moderna | |
| 2 | 2021-04-15 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Last night my face felt warm but ni fever. I also had a stomach ache after midnjght but that subsided in about an hour. Although thevtiredness was mild, it was slightly more than mild but less than moderate in the later afternoon. I felt much less fatigued after havinf an warly dinner.
Systemic reaction (other): I have had a very mild itching on my left side as well as at the injection site since the day I had the vaccine. There has been no rash, just a very slight occasional itch.
Systemic reaction (other): Still have slight itching on my lower left side onmy back above the waist.
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release