6AZ-75667-16323
3 vaccinations
4 coded responses
22 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 113 / NY
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-22
Registered in v-safe
-
2021-01-22
Dose 1 — Moderna
-
2021-01-22
Survey response — day 0, dose 1MedDRA: Discomfort, Massage, Pain, Pruritus — Feeling: Good · Site: Pain, Swelling, ItchingFree text: Only mild soreness and very mild sensation of itchiness with no desire to scratch. Massage alleviated this discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Lymphadenopathy — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Slightly swollen lymph nodes under the mandible. No fever or other symptoms.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
-
2021-01-25
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal pain, Diarrhoea — Feeling: Good · Diarrhea, Abdominal painFree text: Abdominal cramping and mild diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
-
2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site warmth, Papule, Rash, Rash papular — Feeling: GoodFree text: On day 8 the injection site became very red, warm to the touch and itchy. On day 9, Sunday, the red patch that showed up on Saturday turned into a rash. Red slightly raised papules. Today is day 14 and the rash is almost gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-14
- 2021-02-19
-
2021-02-20
Dose 2 — Moderna
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-14
- 2021-03-21
- 2021-03-27
- 2021-04-03
- 2021-05-22
- 2021-08-21
-
2021-08-27
Dose 3 — Moderna
- 2022-02-20
- 2022-02-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-08-27 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): Only mild soreness and very mild sensation of itchiness with no desire to scratch. Massage alleviated this discomfort.
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Slightly swollen lymph nodes under the mandible. No fever or other symptoms.
Systemic reaction (other): Abdominal cramping and mild diarrhea
Release 3 — day 14, dose 1
Symptoms: On day 8 the injection site became very red, warm to the touch and itchy. On day 9, Sunday, the red patch that showed up on Saturday turned into a rash. Red slightly raised papules. Today is day 14 and the rash is almost gone.
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Papule | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ○ |
| SD | Rash papular | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Discomfort | · | · | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Massage | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release