6PA-20610-04658
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 800 / CO
- Registered
- 2021-01-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Registered in v-safe
-
2021-01-06
Dose 1 — Moderna
-
2021-01-06
Survey response — day 0, dose 1MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Mild headache but I also had one prior to the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-07
-
2021-01-08
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Injection site pain, Pruritus, Skin discolouration — Feeling: Good · Site: Pain, Redness, Itching · Muscle or body achesFree text: Small itchy red area below injection site. Mild pain was worse the past 24 hours in the deltoid but now is less painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-09
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
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2021-01-21
Survey response — day 14, dose 1MedDRA: Injection site rash, Injection site reaction, Rash pruritic, Urticaria — Feeling: GoodFree text: The rash under the injection site became very itchy but started to resolve 2 days ago. I also had two hives appear (face and chest) that have scabbed and resolved.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-27
-
2021-02-03
Dose 2 — Moderna
- 2021-02-03
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2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Hot flush, Hyperhidrosis, Neck pain — Feeling: Good · Site: Pain, Swelling, ItchingFree text: Ive had 3 hot flashes with my body being drenched in sweat, lasting 5-20 minutes immediately after my first check-in yesterday. The episodes got shorter and milder with each one, I had no chills or signs of a fever. I had neck pain over night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Pain, Urticaria — Feeling: Good · Site: Pain, ItchingFree text: One hive on my face, pain is almost completely resolvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Good · Site: ItchingFree text: Less itching than yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-09
- 2021-02-10
- 2021-02-17
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna |
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Mild headache but I also had one prior to the vaccine
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Small itchy red area below injection site. Mild pain was worse the past 24 hours in the deltoid but now is less painful.
Release 2 — day 14, dose 1
Symptoms: The rash under the injection site became very itchy but started to resolve 2 days ago. I also had two hives appear (face and chest) that have scabbed and resolved.
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Ive had 3 hot flashes with my body being drenched in sweat, lasting 5-20 minutes immediately after my first check-in yesterday. The episodes got shorter and milder with each one, I had no chills or signs of a fever. I had neck pain over night.
Systemic reaction (other): One hive on my face, pain is almost completely resolved
Systemic reaction (other): Less itching than yesterday
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 rash | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Skin discolouration | ✓ | ✓ | ✓ |
| SRO | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release