699-24295-92928
2 vaccinations
5 coded responses
18 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 660 / KS
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-24
Dose 1 — Moderna
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2021-03-11
Registered in v-safe
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2021-03-11
Survey response — day 14, dose 1MedDRA: Vaccination site erythema, Vaccination site warmth — Feeling: GoodFree text: Erythema on arm where vaccine was received; appeared initially on Day 14 post vaccine. On Day 15 post vaccine (today), area measures appx 9cm x 9cm asymmetrically, is red and warm to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
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2021-03-24
Dose 2 — Moderna
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2021-03-24
Survey response — day 0, dose 2MedDRA: Flushing — Feeling: Fair · Site: PainFree text: Facial FlushingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site swelling, Joint range of motion decreased — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Area of redness on arm near injection site has grown from 16cm x 9cm yesterday to 18cm x 14cm today; swelling is limiting range of motionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Injection site reaction — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Reaction area on arm measures 27cm x 20cm (4cm larger than yesterday around arm circumference)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tirednessAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Flushing — Feeling: Fair · Fatigue or tirednessFree text: Experiencing some mild transient facial flushing (had the same reaction happen after the first dose as well; is similar to what I experience when I take an oral corticosteroid)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-06-23
- 2021-09-22
- 2022-03-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna |
Free text
Release 5 — day 14, dose 1
Symptoms: Erythema on arm where vaccine was received; appeared initially on Day 14 post vaccine. On Day 15 post vaccine (today), area measures appx 9cm x 9cm asymmetrically, is red and warm to the touch.
Release 6 — day 0, dose 2
Systemic reaction (other): Facial Flushing
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Area of redness on arm near injection site has grown from 16cm x 9cm yesterday to 18cm x 14cm today; swelling is limiting range of motion
Systemic reaction (other): Reaction area on arm measures 27cm x 20cm (4cm larger than yesterday around arm circumference)
Systemic reaction (other): Experiencing some mild transient facial flushing (had the same reaction happen after the first dose as well; is similar to what I experience when I take an oral corticosteroid)
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 | Vaccination site erythema | ✓ | ✓ | ✓ |
| SD | Vaccination site warmth | ✓ | ✓ | ✓ |
| SRO | Flushing | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site reaction | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Joint range of motion decreased | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release