PMT-13268-55628
4 vaccinations
2 coded responses
25 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 454 / OH
- Registered
- 2021-01-14
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-14
Registered in v-safe
-
2021-01-14
Dose 1 — Moderna
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-18
-
2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: GoodFree text: Sore axillary lymph node on same side as injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-21
- 2021-01-28
- 2021-02-04
-
2021-02-11
Dose 2 — Moderna
-
2021-02-18
Survey response — day 7, dose 2MedDRA: Chills, Pain, Pyrexia, Rash — Feeling: Good · Site: Pain, Redness · Be unable to workFree text: Vaccine was 1 week ago but I didnt get vsafe notice to enter side effects until today- had a fever, rash, soreness, whole body aches, chills for approx 24 hrsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-05-13
- 2021-08-12
-
2021-11-05
Dose 3 — ModernaCo-administered: Flu
- 2022-02-11
-
2022-10-29
Dose 4 — ModernaCo-administered: Flu
- 2022-11-13
- 2022-11-19
- 2022-11-26
- 2022-12-03
- 2022-12-10
- 2023-01-30
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-11 | Moderna | |
| 3 | 2021-11-05 | Moderna | Flu |
| 4 | 2022-10-29 | Moderna | Flu |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Sore axillary lymph node on same side as injection
Release 4 — day 7, dose 2
Systemic reaction (other): Vaccine was 1 week ago but I didnt get vsafe notice to enter side effects until today- had a fever, rash, soreness, whole body aches, chills for approx 24 hrs
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 | Chills | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release