68Q-98549-42914
2 vaccinations
4 coded responses
12 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 472 / IN
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-20
Dose 1 — Moderna
-
2021-03-04
Registered in v-safe
-
2021-03-04
Survey response — day 7, dose 1MedDRA: Somnolence — Feeling: Poor · Site: Pain, Redness, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: I slept all day(did not eat) the day after my vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-13
Survey response — day 21, dose 1MedDRA: Blister, Burning sensation, Pruritus, Rash, Swelling — Feeling: FairFree text: I have a rash on my face and head as well as random places on my body. Bumps up and is itchy and then blisters and has a burning sensation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-20
Dose 2 — Moderna
- 2021-03-20
-
2021-03-22
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-03-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-24
Survey response — days 1–6 daily, dose 2MedDRA: Lymphadenopathy, Pre-existing disease, Vision blurred — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Fatigue or tirednessFree text: I forgot to mention on previous check ins, I believe it has also affected my vision. It has been blurry. As well, my tongue is still somewhat swollen from COVID back in December. My lymph nodes in by neck also were enlarged for a couple of the past days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-27
Survey response — day 7, dose 2MedDRA: Visual impairment — Feeling: Good · Joint pains, Fatigue or tirednessFree text: Still some vision issuesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-17
- 2021-05-01
- 2022-03-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-20 | Moderna | |
| 2 | 2021-03-20 | Moderna |
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): I slept all day(did not eat) the day after my vaccination.
Release 5 — day 21, dose 1
Symptoms: I have a rash on my face and head as well as random places on my body. Bumps up and is itchy and then blisters and has a burning sensation.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to mention on previous check ins, I believe it has also affected my vision. It has been blurry. As well, my tongue is still somewhat swollen from COVID back in December. My lymph nodes in by neck also were enlarged for a couple of the past days.
Release 6 — day 7, dose 2
Systemic reaction (other): Still some vision issues
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 | Blister | · | · | ✓ |
| SD | Burning sensation | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Swelling | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
| SRO | Vision blurred | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release