655-17113-94695
5 vaccinations
8 coded responses
52 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 570 / SD
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Registered in v-safe
-
2021-02-25
Dose 1 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · HeadacheAdult check-in
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising, Injection site discolouration — Feeling: Good · Site: ItchingFree text: No redness, just a 3" diameter bluish bruise around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Only have the 2-3 inch diameter purple blue bruising around injection site. I dont have any associated pain or itching with it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Injection site bruising — Feeling: GoodFree text: Only 2" diameter bruising left at the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 7, dose 1MedDRA: Contusion, Pruritus — Feeling: Good · Site: ItchingFree text: Bruising still with mild itching todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-18
- 2021-03-25
-
2021-03-26
Dose 2 — Moderna
-
2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: DizzinessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-09
- 2021-04-18
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-06-25
- 2021-09-24
-
2021-10-27
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
-
2022-04-12
Dose 4 — Moderna
-
2022-04-18
Survey response — days 1–6 daily, dose 4MedDRA: Injection site bruising, Injection site erythema, Injection site pain, Injection site reaction, Injection site swelling, Skin reaction, Unevaluable event — Feeling: Good · Site: Redness · Rash, not including the immediate area around the injection siteFree text: Large swollen red mark appeared just beneath the injecton site, injwction site itself had a large 2 x 3 heavy bruise, below that was the very red sore swollen skin reaction, almost appeared like cellulitis. In 12 hrs, on face looked like empetigo?MedDRA releases: 2024-11 · check-in free text available
-
2022-04-21
Survey response — day 7, dose 4MedDRA: Pruritus — Feeling: Good · Site: Redness, Itching · Rash, not including the immediate area around the injection siteFree text: Frequent itching, right side of my body....face, arm trunkMedDRA releases: 2024-11 · check-in free text available
- 2022-04-26
- 2022-05-05
- 2022-05-10
- 2022-05-17
-
2022-05-24
Survey response — day 42, dose 4MedDRA: Nasopharyngitis — Feeling: FairFree text: I have a head cold I believe this morning.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-12
-
2022-09-28
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-27
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-26 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | Flu |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): No redness, just a 3" diameter bluish bruise around the injection site
Systemic reaction (other): Only have the 2-3 inch diameter purple blue bruising around injection site. I dont have any associated pain or itching with it.
Systemic reaction (other): Only 2" diameter bruising left at the injection site
Release 5 — day 7, dose 1
Systemic reaction (other): Bruising still with mild itching today
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Dizziness
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Large swollen red mark appeared just beneath the injecton site, injwction site itself had a large 2 x 3 heavy bruise, below that was the very red sore swollen skin reaction, almost appeared like cellulitis. In 12 hrs, on face looked like empetigo?
Release 11 — day 7, dose 4
Systemic reaction (other): Frequent itching, right side of my body....face, arm trunk
Release 11 — day 42, dose 4
Symptoms: I have a head cold I believe this morning.
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 | Nasopharyngitis | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site discolouration | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site reaction | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin reaction | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release