6RN-24459-85877
2 vaccinations
4 coded responses
8 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 021 / MA
- Registered
- 2021-01-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-07
Registered in v-safe
-
2021-01-07
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · DiarrheaFree text: OkMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Dose 2 — Moderna
-
2021-01-27
Survey response — day 0, dose 2MedDRA: Injection site erythema, Injection site pain, Injection site swelling, Rash — Feeling: Good · Site: PainFree text: With 1st injection 5days later I developed pain, redness, swelling at the site and a rash down my arm lasting approximately 2weeksMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
-
2021-01-29
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Discomfort, Impaired work ability, Injection site erythema, Injection site pain, Injection site swelling, Neck pain, Pain in extremity, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling · Be unable to do your normal daily activitiesFree text: Yesterday at 4pm I started to moderate pain in my neck, back which was achy and constant .. I took 975mg of Tylenol x3 (1s x for arm pain) discomfort and difficulty working due to pain. I am an adolescent psych nurse. After taking 800mg of Tylenol at 9pm I started to feel relief. Today pain/swelling/ redness on left arm from infection site and upper 1/2 of armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-30
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-01-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-07-30
-
2022-01-27
Survey response — 12 months, dose 2MedDRA: Headache, Impaired work ability, Injection site pain, Injection site rash — Feeling: Good · Be unable to work or attend schoolFree text: After I received booster had a rash at the site for a fee days and pain at site. I also h/a for few days...then I've been fine Just called out of work 2 Days then fine. No covid!!!MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-27 | Moderna |
Free text
Release 1 — day 7, dose 1
Systemic reaction (other): Ok
Release 2 — day 0, dose 2
Systemic reaction (other): With 1st injection 5days later I developed pain, redness, swelling at the site and a rash down my arm lasting approximately 2weeks
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday at 4pm I started to moderate pain in my neck, back which was achy and constant .. I took 975mg of Tylenol x3 (1s x for arm pain) discomfort and difficulty working due to pain. I am an adolescent psych nurse. After taking 800mg of Tylenol at 9pm I started to feel relief. Today pain/swelling/ redness on left arm from infection site and upper 1/2 of arm
Release 11 — 12 months, dose 2
Symptoms: After I received booster had a rash at the site for a fee days and pain at site. I also h/a for few days...then I've been fine Just called out of work 2 Days then fine. No covid!!!
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 | Headache | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Injection site rash | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Impaired work ability | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release