65D-23833-70751
4 vaccinations
8 coded responses
41 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 974 / OR
- Registered
- 2021-01-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-15
Registered in v-safe
-
2021-01-15
Dose 1 — Moderna
- 2021-01-15
-
2021-01-16
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-01-17
Survey response — days 1–6 daily, dose 1MedDRA: Body temperature increased — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: No fever but slightly elevated body temperature.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
-
2021-01-29
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site rash — Feeling: GoodFree text: 7-9 days post-inoculation, I developed a localized rash at the injection site. It was raised, red, and itchy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
-
2021-02-10
Dose 2 — Moderna
- 2021-02-10
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache · Be unable to do your normal daily activitiesAdult check-in
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: DizzyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessAdult check-in
-
2021-02-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-15
- 2021-02-16
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 2MedDRA: Rash pruritic — Feeling: GoodFree text: Itchy rash on trunkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
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2021-03-24
Survey response — day 42, dose 2MedDRA: Blepharospasm, Eyelid ptosis — Feeling: GoodFree text: Mild intermittent unilateral eyelid ptosis or spasms. (Just reporting for completeness, almost certainly not relevant.)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-08-11
-
2021-10-18
Dose 3 — ModernaCo-administered: Flu
-
2021-10-24
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Injection site pain, Injection site swelling, Nausea, Pyrexia — Feeling: Good · Site: Pain, Redness, SwellingFree text: Today is 6 days post-inoculation and I feel fine. I never had a chance to check in to V-Safe before today for this shot. The day of the shot, I had a fever of 102oF with chills, nausea, and fatigue along with severe pain and swelling at the injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-10-25
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2022-01-17
- 2022-04-18
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2022-09-13
Dose 4 — ModernaCo-administered: Flu
- 2022-09-20
- 2022-09-27
- 2022-10-04
- 2022-10-11
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2022-10-18
Survey response — day 35, dose 4MedDRA: Upper respiratory tract infection — Feeling: GoodFree text: Non-covid URI in past weekMedDRA releases: 2024-11 · check-in free text available
- 2022-10-25
-
2022-12-13
Survey response — 3 months, dose 4MedDRA: Cough — Feeling: GoodFree text: Mild cough beginning about 11/30MedDRA releases: 2024-11 · check-in free text available
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-15 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-10-18 | Moderna | Flu |
| 4 | 2022-09-13 | Moderna | Flu |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): No fever but slightly elevated body temperature.
Release 3 — day 14, dose 1
Symptoms: 7-9 days post-inoculation, I developed a localized rash at the injection site. It was raised, red, and itchy.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Dizzy
Release 4 — day 14, dose 2
Symptoms: Itchy rash on trunk
Release 6 — day 42, dose 2
Symptoms: Mild intermittent unilateral eyelid ptosis or spasms. (Just reporting for completeness, almost certainly not relevant.)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Today is 6 days post-inoculation and I feel fine. I never had a chance to check in to V-Safe before today for this shot. The day of the shot, I had a fever of 102oF with chills, nausea, and fatigue along with severe pain and swelling at the injection cut off by CDC
Release 12 — day 35, dose 4
Symptoms: Non-covid URI in past week
Release 12 — 3 months, dose 4
Symptoms: Mild cough beginning about 11/30
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 | Blepharospasm | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Eyelid ptosis | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Nausea | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release