6LQ-10567-31787
2 vaccinations
3 coded responses
25 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 195 / PA
- Registered
- 2021-03-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-13
Dose 1 — Moderna
-
2021-03-14
Registered in v-safe
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
-
2021-03-28
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site warmth — Feeling: GoodFree text: On the 8th day I noticed a 2 diameter red mark about 1 below injection site.There was a tiny amount of soreness along with the redness and felt warm. The soreness & warmth went away after a day but the redness is still there but barely noticeaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
-
2021-04-10
Dose 2 — Moderna
- 2021-04-10
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-12
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased, Injection site erythema, Injection site pain, Injection site warmth — Feeling: Good · Site: Pain, RednessFree text: Last evening temperature was 101.5 (higher than reported on previous check in) Area below injection site is red, sore and feels hot to the touch.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Dry skin, Erythema, Pain in extremity, Tenderness — Feeling: Good · Site: Pain, Redness, ItchingFree text: The redness on my arm covers about 2/3 of my upper arm and feels hot to the touch. Mild pain when touching the area.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-04-16
- 2021-04-17
- 2021-04-24
- 2021-05-02
- 2021-05-08
- 2021-05-15
- 2021-05-22
- 2021-07-10
- 2021-10-09
- 2022-04-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-13 | Moderna | |
| 2 | 2021-04-10 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: On the 8th day I noticed a 2 diameter red mark about 1 below injection site.There was a tiny amount of soreness along with the redness and felt warm. The soreness & warmth went away after a day but the redness is still there but barely noticea
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Last evening temperature was 101.5 (higher than reported on previous check in) Area below injection site is red, sore and feels hot to the touch.
Systemic reaction (other): The redness on my arm covers about 2/3 of my upper arm and feels hot to the touch. Mild pain when touching the area.
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 pain | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Dry skin | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release