6JF-11093-31413
2 vaccinations
2 coded responses
9 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 972 / OR
- Registered
- 2021-02-23
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-02-23
Registered in v-safe
-
2021-02-23
Survey response — day 28, dose 1MedDRA: Chills, Injection site reaction, Injection site swelling, Injection site warmth, Nausea, Rash erythematous, Rash pruritic — Feeling: GoodFree text: 10 hrs after the vaccine I felt very nauseous for 3 hours and had chills. 9 days after I got a red, hot, and itchy swollen rash on my arm about 5 below injection site. It grew and remained for a week until it gradually went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-24
Dose 2 — Moderna
-
2021-03-12
Survey response — day 14, dose 2MedDRA: Chills, Fatigue, Headache, Immunisation reaction, Pyrexia, Rash — Feeling: Good · Be unable to workFree text: About 10 hours after the 2nd dose I started developing that covid arm rash at injection site. The next day I felt tired and had a headache. 2nd night I had a fever and chills for about 4 hours. The rash lasted a week.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-26
- 2021-03-31
- 2021-04-08
- 2021-05-26
- 2021-08-26
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Free text
Release 4 — day 28, dose 1
Symptoms: 10 hrs after the vaccine I felt very nauseous for 3 hours and had chills. 9 days after I got a red, hot, and itchy swollen rash on my arm about 5 below injection site. It grew and remained for a week until it gradually went away.
Release 5 — day 14, dose 2
Symptoms: About 10 hours after the 2nd dose I started developing that covid arm rash at injection site. The next day I felt tired and had a headache. 2nd night I had a fever and chills for about 4 hours. The rash lasted a week.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release