68L-24708-27356
2 vaccinations
3 coded responses
26 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 623 / IL
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-24
Survey response — day 14, dose 1MedDRA: Injection site pain, Injection site rash, Pain, Rash erythematous, Rash pruritic, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: Red rash near injection site on my arm about 2 1/2 long by 1 wide. Itchy but not like poison ivy itchy. Also pain in my childhood vaccination circle. But for both, the next day it was almost gone and 2nd day after it was gone completelyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-10
-
2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Pre-existing disease — Feeling: Fair · Fatigue or tirednessFree text: Shoulders hurting from fibromyalgia probablyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-08
-
2022-04-07
Survey response — 12 months, dose 2MedDRA: Head injury, Loss of consciousness, Office visit, Sinusitis — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Symptoms: I passed out in my home Jan 11. Hit my head on wood chair. Hurt for 4 weeks. Got a sinus infection in Feb. lasted about 6 days. · Healthcare visit (other): Dr aptMedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 14, dose 1
Symptoms: Red rash near injection site on my arm about 2 1/2 long by 1 wide. Itchy but not like poison ivy itchy. Also pain in my childhood vaccination circle. But for both, the next day it was almost gone and 2nd day after it was gone completely
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Shoulders hurting from fibromyalgia probably
Release 11 — 12 months, dose 2
Symptoms: I passed out in my home Jan 11. Hit my head on wood chair. Hurt for 4 weeks. Got a sinus infection in Feb. lasted about 6 days.
Healthcare visit (other): Dr apt
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Head injury | · | · | ✓ |
| SD | Injection site pain | ✓ | ✓ | ○ |
| SD | Injection site rash | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Sinusitis | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release