XEC-41281-28792
3 vaccinations
2 coded responses
22 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 591 / MT
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-23
Dose 1 — Moderna
-
2020-12-28
Registered in v-safe
- 2020-12-28
- 2020-12-29
- 2020-12-30
-
2021-01-06
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site reaction, Injection site swelling, Musculoskeletal stiffness, Self-medication, Urticaria — Feeling: GoodFree text: 8 days after the vaccination I woke up with arm swelling at the vaccine injection site. The swelling was stiff like a welt & about the size of a golf ball. I had a hive like rash around the swelling that was mildly itchy. Took Benadryl that evening.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-13
-
2021-01-20
Dose 2 — Moderna
-
2021-01-29
Health check-in — day 7, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
- 2021-02-05
- 2021-02-12
- 2021-02-19
- 2021-02-24
- 2021-03-03
- 2021-04-21
- 2021-07-21
-
2021-10-15
Dose 3 — ModernaCo-administered: Flu
-
2021-10-23
Health check-in — day 7, dose 3Feeling: Good · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
-
2021-11-05
Survey response — day 21, dose 3MedDRA: Oropharyngeal pain, Pain, Pyrexia — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, body aches, sore throatMedDRA releases: 2024-11 · check-in free text available
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2022-01-14
- 2022-04-15
- 2022-10-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-23 | Moderna | |
| 2 | 2021-01-20 | Moderna | |
| 3 | 2021-10-15 | Moderna | Flu |
Free text
Release 1 — day 14, dose 1
Symptoms: 8 days after the vaccination I woke up with arm swelling at the vaccine injection site. The swelling was stiff like a welt & about the size of a golf ball. I had a hive like rash around the swelling that was mildly itchy. Took Benadryl that evening. cut off by CDC
Release 10 — day 21, dose 3
Symptoms: Fever, body aches, sore throat
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 pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Musculoskeletal stiffness | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release