X8E-50837-02476
2 vaccinations
3 coded responses
7 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 36-40
- ZIP prefix
- 343 / FL
- Registered
- 2021-04-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-12
Dose 1 — Moderna
-
2021-04-20
Registered in v-safe
-
2021-04-20
Health check-in — day 7, dose 1Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Muscle or body aches, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-04-26
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Arm swollen at injection site, tender, itchy itchy itchy, red colorMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-05
Survey response — day 21, dose 1MedDRA: Ear infection — Feeling: PoorFree text: Think I have an ear infectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-10
Survey response — day 28, dose 1MedDRA: Chills, Cough, Diarrhoea, Headache, Malaise, Pyrexia, Sneezing — Feeling: Poor · Be unable to workFree text: Diarrhea, fever, chills, malaise, cough, sneezing, headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-17
-
2021-05-20
Dose 2 — Moderna
-
2021-05-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-06-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-12 | Moderna | |
| 2 | 2021-05-20 | Moderna |
Free text
Release 8 — day 14, dose 1
Symptoms: Arm swollen at injection site, tender, itchy itchy itchy, red color
Release 8 — day 21, dose 1
Symptoms: Think I have an ear infection
Release 8 — day 28, dose 1
Symptoms: Diarrhea, fever, chills, malaise, cough, sneezing, headache
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 | Chills | ✓ | ✓ | ✓ |
| SD | Cough | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Ear infection | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release