DKE-61923-09500
3 vaccinations
2 coded responses
16 check-ins
2 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 980 / WA
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-01-25
Registered in v-safe
-
2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitAdult check-in
-
2021-01-25
Report sent to call center — days 1–6 daily, dose 1Get care from a doctor or other healthcare professional1 call case(s)
-
2021-01-26
Survey response — day 7, dose 1MedDRA: Blister, Immediate post-injection reaction — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Blisters on toes. Started one day after vaccine and still have themMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-15
Dose 2 — Moderna
-
2021-02-16
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
-
2021-02-17
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-18
- 2021-02-21
- 2021-02-24
- 2021-03-01
- 2021-03-08
- 2021-03-29
- 2021-04-12
- 2021-08-17
-
2021-10-25
Dose 3 — Moderna
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal painFree text: Terrible back painMedDRA releases: 2024-11 · check-in free text available
- 2021-10-27
- 2021-10-30
- 2021-12-08
- 2022-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-15 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 2 — day 7, dose 1
Systemic reaction (other): Blisters on toes. Started one day after vaccine and still have them
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Terrible back pain
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 | Back pain | · | · | ✓ |
| SRO | Blister | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release