94E-37831-32577
4 vaccinations
1 coded response
25 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 110 / NY
- Registered
- 2021-01-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2021-01-03
Registered in v-safe
- 2021-01-03
- 2021-01-04
- 2021-01-05
- 2021-01-06
- 2021-01-13
- 2021-01-21
- 2021-01-27
-
2021-01-29
Dose 2 — Moderna
-
2021-02-01
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia, Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection site · Be unable to work, Be unable to do your normal daily activitiesFree text: I had fever and myalgias the day after the second shot, today woke up with lip swelling (3 days after second dose)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-03
- 2021-02-07
- 2021-02-14
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-07-30
-
2021-10-29
Dose 3 — Moderna
- 2022-01-29
- 2022-01-29
- 2022-04-29
-
2022-09-11
Dose 4 — Moderna
- 2022-10-16
- 2022-10-23
- 2022-12-13
- 2023-03-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-09-11 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I had fever and myalgias the day after the second shot, today woke up with lip swelling (3 days after second dose)
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 |
|---|---|---|---|---|
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release