8R5-28577-97578
4 vaccinations
4 coded responses
41 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 815 / CO
- Registered
- 2021-01-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-11
Registered in v-safe
-
2021-01-11
Dose 1 — Moderna
-
2021-01-11
Health check-in — day 0, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-13
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-14
- 2021-01-16
- 2021-01-18
-
2021-01-25
Survey response — day 14, dose 1MedDRA: Hypersensitivity, Injection site erythema, Injection site induration, Injection site pruritus, Injection site swelling, Injection site warmth, Self-medication — Feeling: GoodFree text: Delayed allergic reaction 1/19 & 1/20 - localized swelling at injection site, warm to the touch, redness, firmness under injection site, and itching. Controlled with OTC Benadryl and ice pack on injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
-
2021-02-08
Dose 2 — Moderna
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-10
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: Stuffy noseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-11
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Headache, Fatigue or tirednessAdult check-in
-
2021-02-12
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-23
- 2021-03-03
- 2021-03-08
- 2021-03-15
- 2021-03-23
- 2021-05-11
- 2021-08-09
-
2021-10-23
Dose 3 — Moderna
-
2021-10-24
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-10-25
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-06
- 2022-01-22
- 2022-04-23
-
2022-09-22
Dose 4 — Moderna
-
2022-09-27
Survey response — days 1–6 daily, dose 4MedDRA: Muscle spasms — Feeling: Fair · FeverFree text: leg crampsMedDRA releases: 2024-11 · check-in free text available
-
2022-09-28
Survey response — days 1–6 daily, dose 4MedDRA: Injection site pain — Feeling: Fair · Fatigue or tirednessFree text: I had really bad muscle soreness at the injection site for the 2-3 days after I received the shot, but was not receiving these questionnaires at that timeMedDRA releases: 2024-11 · check-in free text available
- 2022-10-08
- 2022-10-22
- 2022-11-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-11 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-09-22 | Moderna | No |
Free text
Release 2 — day 14, dose 1
Symptoms: Delayed allergic reaction 1/19 & 1/20 - localized swelling at injection site, warm to the touch, redness, firmness under injection site, and itching. Controlled with OTC Benadryl and ice pack on injection site.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Stuffy nose
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): leg cramps
Systemic reaction (other): I had really bad muscle soreness at the injection site for the 2-3 days after I received the shot, but was not receiving these questionnaires at that time
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 | Hypersensitivity | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site induration | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release