66T-18087-14241
3 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 337 / FL
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-12
Dose 1 — Moderna
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2021-01-26
Registered in v-safe
- 2021-01-26
- 2021-02-02
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2021-02-08
Dose 2 — Moderna
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2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
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2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Fair · Site: Pain, Redness, SwellingFree text: Rec the 2nd vaccine in thigh bc of shoulder issues. The area is about a 6 inch circle, a little tender to touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — days 1–6 daily, dose 2MedDRA: Induration, Lymphadenopathy, Rash, Self-medication — Feeling: Fair · Site: Redness, SwellingFree text: Rash on thigh w injection site is slowly getting better w rhe aid if benadryl & hydrocortisone cream. Still a bit qsr and hard to touch. Lymph node in groin going down.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Rash is SLOWLY improvingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-15
- 2021-08-09
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2021-11-01
Dose 3 — Moderna
- 2021-11-01
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2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Asthenia, Headache, Lethargy, Self-medication — Feeling: Fair · Site: Redness, Swelling · Chills, Headache, Fatigue or tiredness, NauseaFree text: Most of the above symptoms were during the night. Today I feel lethargic and weak, headache. Advil helps.MedDRA releases: 2024-11 · check-in free text available
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site induration — Feeling: Good · Site: Redness, SwellingFree text: None, just a large red hard area around shot siteMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-07
- 2021-12-13
- 2022-01-31
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-01 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Rec the 2nd vaccine in thigh bc of shoulder issues. The area is about a 6 inch circle, a little tender to touch.
Systemic reaction (other): Rash on thigh w injection site is slowly getting better w rhe aid if benadryl & hydrocortisone cream. Still a bit qsr and hard to touch. Lymph node in groin going down.
Systemic reaction (other): Rash is SLOWLY improving
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Most of the above symptoms were during the night. Today I feel lethargic and weak, headache. Advil helps.
Systemic reaction (other): None, just a large red hard area around shot site
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 | Asthenia | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Induration | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site induration | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lethargy | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release