6M8-89030-65160
3 vaccinations
8 coded responses
40 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 970 / OR
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-07
Registered in v-safe
-
2021-04-08
Dose 1 — Moderna
- 2021-04-08
- 2021-04-09
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
-
2021-04-22
Survey response — day 14, dose 1MedDRA: Ear pruritus, Eye pruritus, Nasal pruritus, Pre-existing disease, Rhinorrhoea, Sneezing, Throat irritation — Feeling: GoodFree text: Sneezing, itchy eyes, ears, nose, and throat. Runny nose. Feels like typical for me allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
-
2021-05-06
Dose 2 — Moderna
- 2021-05-06
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-05-08
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
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2021-06-10
Survey response — day 35, dose 2MedDRA: Eye pruritus, Nasal congestion, Pruritus, Rhinorrhoea, Sneezing — Feeling: FairFree text: Lots of sneezing, stuffy and runny nose. Itchy eyes, ears, roof of mouth.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-17
- 2021-08-05
- 2021-11-04
-
2021-12-21
Dose 3 — Moderna
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Neck mass, Tenderness — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Lump at base of neck, just behind the collar bone. Same side as the injection. Tender to the touch.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Neck mass — Feeling: Good · Site: PainFree text: Lump still present at base of neck, behind collar bone.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Mass, Tenderness — Feeling: Good · Site: PainFree text: Lump still there. Less tender.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-25
Survey response — days 1–6 daily, dose 3MedDRA: Mass, Tenderness — Feeling: Good · Site: PainFree text: Lump still present. Less tender.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-26
Survey response — days 1–6 daily, dose 3MedDRA: Mass, Tenderness — Feeling: GoodFree text: Lump still there. No longer tender.MedDRA releases: 2024-11 · check-in free text available
-
2021-12-27
Survey response — days 1–6 daily, dose 3MedDRA: Mass — Feeling: GoodFree text: Lump less noticeable.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-28
- 2022-01-04
- 2022-01-11
- 2022-01-18
- 2022-01-25
- 2022-02-01
- 2022-03-24
- 2022-06-21
- 2022-12-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna | |
| 3 | 2021-12-21 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: Sneezing, itchy eyes, ears, nose, and throat. Runny nose. Feels like typical for me allergies.
Release 9 — day 35, dose 2
Symptoms: Lots of sneezing, stuffy and runny nose. Itchy eyes, ears, roof of mouth.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lump at base of neck, just behind the collar bone. Same side as the injection. Tender to the touch.
Systemic reaction (other): Lump still present at base of neck, behind collar bone.
Systemic reaction (other): Lump still there. Less tender.
Systemic reaction (other): Lump still present. Less tender.
Systemic reaction (other): Lump still there. No longer tender.
Systemic reaction (other): Lump less noticeable.
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 | Ear pruritus | ✓ | ✓ | ✓ |
| SD | Eye pruritus | ✓ | ✓ | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasal pruritus | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Throat irritation | ✓ | ✓ | ✓ |
| SRO | Mass | · | · | ✓ |
| SRO | Neck mass | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release