AL4-20993-38458
2 vaccinations
4 coded responses
17 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 760 / TX
- Registered
- 2021-03-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-22
Registered in v-safe
-
2021-03-22
Dose 1 — Moderna
-
2021-04-03
Survey response — day 7, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: Pain · Be unable to do your normal daily activitiesFree text: Arm was really soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-12
-
2021-04-25
Dose 2 — Moderna
-
2021-04-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-27
Survey response — days 1–6 daily, dose 2MedDRA: Contusion, Pruritus — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Arm bruised and itchy on armsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-28
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workFree text: Itchy on arms mildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-11
- 2021-05-16
- 2021-05-30
- 2021-06-08
- 2021-07-25
- 2021-10-24
-
2022-04-25
Survey response — 12 months, dose 2MedDRA: SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Emergency room or emergency department visitFree text: Tested positive with COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare prEmergency room or emergency department visit · 1 call case(s)
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-22 | Moderna | |
| 2 | 2021-04-25 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Arm was really sore
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Arm bruised and itchy on arms
Systemic reaction (other): Itchy on arms mild
Release 11 — 12 months, dose 2
Symptoms: Tested positive with 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 | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Contusion | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release