WVM-87839-49909
4 vaccinations
5 coded responses
37 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 030 / NH
- Registered
- 2020-12-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Registered dependents
587-98435-41807
Child or adolescent in my care · Male · 2023-04-24
GMU-73575-42439
Child or adolescent in my care · Female · 2023-04-24
Timeline
-
2020-12-24
Registered in v-safe
-
2020-12-24
Dose 1 — Moderna
- 2020-12-25
-
2020-12-27
Survey response — days 1–6 daily, dose 1MedDRA: Rash pruritic — Feeling: Good · Site: ItchingFree text: Itching may be from the bandage itself. Rash in shape of bandage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-28
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Site: ItchingFree text: Itching at site may be from the bandage. Rash in shape of badage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-29
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Site: ItchingFree text: Itching at site may be from the bandage. Rash in shape of badage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2020-12-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pruritus, Injection site rash — Feeling: Good · Site: ItchingFree text: Itching at site may be from the bandage. Rash in shape of bandage.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-02
- 2021-01-09
- 2021-01-14
-
2021-01-21
Dose 2 — Moderna
-
2021-01-28
Survey response — day 7, dose 2MedDRA: Arthralgia, Chills, Fatigue, Headache, Nausea, Pain, Thirst — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activitiesFree text: 14 hours after injection last week: chills, headache, joint pain, muscle/ body aches, fatigue, nausea, extreme thirstMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-11
- 2021-02-20
- 2021-02-28
- 2021-03-04
- 2021-04-23
- 2021-07-22
-
2021-12-17
Dose 3 — Moderna
- 2022-01-06
- 2022-01-07
- 2022-01-14
- 2022-01-21
- 2022-01-28
- 2022-03-18
- 2022-06-17
-
2022-10-28
Dose 4 — Moderna
-
2022-10-29
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
- 2022-11-03
- 2022-11-04
- 2022-11-13
- 2022-11-18
- 2022-11-25
- 2022-12-02
- 2022-12-11
- 2023-01-29
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-24 | Moderna | |
| 2 | 2021-01-21 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-10-28 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Itching may be from the bandage itself. Rash in shape of bandage.
Systemic reaction (other): Itching at site may be from the bandage. Rash in shape of badage.
Systemic reaction (other): Itching at site may be from the bandage. Rash in shape of badage.
Systemic reaction (other): Itching at site may be from the bandage. Rash in shape of bandage.
Release 3 — day 7, dose 2
Systemic reaction (other): 14 hours after injection last week: chills, headache, joint pain, muscle/ body aches, fatigue, nausea, extreme thirst
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 | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pruritus | ✓ | ✓ | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Thirst | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release