JYC-29750-71716
1 vaccination
3 coded responses
9 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 26-30
- ZIP prefix
- 983 / WA
- Registered
- 2021-03-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-26
Registered in v-safe
-
2021-03-26
Dose 1 — Moderna
-
2021-03-26
Survey response — day 0, dose 1MedDRA: Pruritus — Feeling: FairFree text: Itching but not at the injection site and very low amountMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: When I say pain, I mean sore. It just is sore in the injection site. But that is normal with most shotsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Pruritus, Self-medication — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Not necessarily a rash, my legs got super red yesterday and itchy so I took a Benadryl. It was just on my lower half of the body.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-02
- 2021-04-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Itching but not at the injection site and very low amount
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): When I say pain, I mean sore. It just is sore in the injection site. But that is normal with most shots
Systemic reaction (other): Not necessarily a rash, my legs got super red yesterday and itchy so I took a Benadryl. It was just on my lower half of the body.
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 | Erythema | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release