6S3-23490-12650
2 vaccinations
6 coded responses
23 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 131 / NY
- Registered
- 2021-04-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-04-19
Registered in v-safe
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2021-04-19
Dose 1 — Moderna
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2021-04-19
Survey response — day 0, dose 1MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Itchy spots but they don't last longMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — days 1–6 daily, dose 1MedDRA: Diarrhoea — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness, Nausea, DiarrheaFree text: Severe diarrheaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-22
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2021-04-28
Survey response — day 7, dose 1MedDRA: Injection site urticaria, Vaccination site pain, Vaccination site pruritus, Vaccination site warmth — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, DiarrheaFree text: Exactly a week from vaccination. Monday morning my arm where vaccine was started itching. Later Monday night a big welt appeared that was very hot and sore. The welt was gone by the following Wednesday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-10
- 2021-05-17
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2021-05-24
Dose 2 — Moderna
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2021-05-24
Health check-in — day 0, dose 2Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
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2021-05-25
Survey response — days 1–6 daily, dose 2MedDRA: Chills — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: cold chills half the nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
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2021-05-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-28
- 2021-05-29
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2021-05-30
Survey response — days 1–6 daily, dose 2MedDRA: Hypoaesthesia, Paraesthesia — Feeling: GoodFree text: I keep getting a weird numbness, tingling sensation going uo my left side that lasts anywhere from 5-20 minutes. It's happened 4 times since my 1st vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-31
- 2021-06-07
- 2021-06-14
- 2021-06-21
- 2021-06-28
- 2021-07-05
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2021-08-23
Survey response — 3 months, dose 2MedDRA: Dyspnoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: It seems like i get out of breath easier than before. To do the simplest thing and I'm out of breath on some days but other days are good.MedDRA releases: 2021-09,2024-11 · check-in free text available
- 2021-11-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-19 | Moderna | |
| 2 | 2021-05-24 | Moderna |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Itchy spots but they don't last long
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Severe diarrhea
Release 8 — day 7, dose 1
Systemic reaction (other): Exactly a week from vaccination. Monday morning my arm where vaccine was started itching. Later Monday night a big welt appeared that was very hot and sore. The welt was gone by the following Wednesday.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): cold chills half the night
Systemic reaction (other): I keep getting a weird numbness, tingling sensation going uo my left side that lasts anywhere from 5-20 minutes. It's happened 4 times since my 1st vaccine.
Release 9 — 3 months, dose 2
Symptoms: It seems like i get out of breath easier than before. To do the simplest thing and I'm out of breath on some days but other days are good.
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 | Dyspnoea | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Hypoaesthesia | ✓ | ✓ | ✓ |
| SRO | Injection site urticaria | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Vaccination site pain | ✓ | ✓ | ✓ |
| SRO | Vaccination site pruritus | ✓ | ✓ | ✓ |
| SRO | Vaccination site warmth | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release