E3E-10893-17390
3 vaccinations
1 coded response
38 check-ins
1 free-text entry
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 730 / OK
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
-
2021-03-17
Survey response — day 0, dose 1MedDRA: Feeling cold, Peripheral coldness — Feeling: Fair · Site: Pain · NauseaFree text: Cold sensation in arm and torso on side of body of injection site. This was temporary and occurred on and off for up to an hour after injection.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-19
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Redness · Fever · Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to workAdult check-in
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2022-01-16
Dose 3 — Moderna
- 2022-01-16
-
2022-01-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2022-01-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea, Diarrhea · Be unable to work or attend schoolAdult check-in
-
2022-01-19
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Muscle or body achesAdult check-in
-
2022-01-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, DiarrheaAdult check-in
-
2022-01-21
Health check-in — days 1–6 daily, dose 3Feeling: Good · Headache, Fatigue or tiredness, DiarrheaAdult check-in
- 2022-01-22
- 2022-01-23
- 2022-01-30
- 2022-02-06
- 2022-02-13
- 2022-02-20
- 2022-02-27
- 2022-04-17
- 2022-07-17
- 2023-01-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2022-01-16 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Cold sensation in arm and torso on side of body of injection site. This was temporary and occurred on and off for up to an hour after injection.
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 | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release