Q2J-30274-14235
2 vaccinations
3 coded responses
22 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 857 / AZ
- Registered
- 2020-12-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-22
Registered in v-safe
-
2020-12-22
Dose 1 — Moderna
-
2020-12-22
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Soreness at injection site. I am a lactating mother.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
-
2020-12-24
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2020-12-26
- 2020-12-27
- 2020-12-28
- 2020-12-29
-
2021-01-05
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Injection site turned red in the outer edge forming a ring and it was itchy for 2 days. Now is gone but this was approx. 10 days after the initial injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
-
2021-01-19
Dose 2 — Moderna
-
2021-01-21
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
-
2021-01-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-03-02
Survey response — day 42, dose 2MedDRA: Urticaria — Feeling: Good · Be unable to work, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: HivesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-02
Report sent to call center — day 42, dose 2Be unable to work · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-20
-
2021-05-14
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
- 2021-07-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-22 | Moderna | |
| 2 | 2021-01-19 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 1 — day 0, dose 1
Systemic reaction (other): Soreness at injection site. I am a lactating mother.
Release 1 — day 14, dose 1
Symptoms: Injection site turned red in the outer edge forming a ring and it was itchy for 2 days. Now is gone but this was approx. 10 days after the initial injection
Release 4 — day 42, dose 2
Symptoms: Hives
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 | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Galactorrhoea | ○ | ○ | ○ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release