68J-32055-91831
3 vaccinations
4 coded responses
40 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 939 / CA
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Survey response — day 0, dose 1MedDRA: Erythema, Feeling hot, Flushing, Immediate post-injection reaction — Feeling: Fair · Fatigue or tirednessFree text: I had warm, flushing feeling in my upper body and face about 25 minutes after vaccine for about an hour with obvious redness to my cheeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
-
2021-04-14
Survey response — day 0, dose 2MedDRA: Flushing, Head discomfort, Immediate post-injection reaction, Self-medication — Feeling: Fair · Fatigue or tirednessFree text: At 40 min after injection I felt some facial flushing and heaviness above my forehead. At advice of dr after 1rst vaccine I took a Benadryl 10 minutes after injection which started to lessen those symptoms 10 minutes after I started feeling them. The symptoms lasted about 1 -1 1/2 hrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy — Feeling: Good · Site: PainFree text: Mildly swollen glands in neckMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-16
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-11-22
Dose 3 — Moderna
- 2021-11-22
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
- 2021-12-06
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
-
2022-02-21
Survey response — 3 months, dose 3MedDRA: Fatigue, Nasopharyngitis, Pain, Pyrexia, Throat irritation — Feeling: Good · Be unable to do your normal daily activitiesFree text: Scratchy throat, bad head cold, achy body, low grade fever, fatigueMedDRA releases: 2024-11 · check-in free text available
- 2022-05-23
- 2022-11-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): I had warm, flushing feeling in my upper body and face about 25 minutes after vaccine for about an hour with obvious redness to my cheeks
Release 7 — day 0, dose 2
Systemic reaction (other): At 40 min after injection I felt some facial flushing and heaviness above my forehead. At advice of dr after 1rst vaccine I took a Benadryl 10 minutes after injection which started to lessen those symptoms 10 minutes after I started feeling them. The symptoms lasted about 1 -1 1/2 hr
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Mildly swollen glands in neck
Release 11 — 3 months, dose 3
Symptoms: Scratchy throat, bad head cold, achy body, low grade fever, fatigue
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 | Fatigue | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release