XT4-29969-48445
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 21-25
- ZIP prefix
- 427 / KY
- Registered
- 2021-08-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-08-16
Registered in v-safe
-
2021-08-16
Dose 1 — Moderna
-
2021-08-16
Health check-in — day 0, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Joint painsAdult check-in
-
2021-08-17
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Entire arm sore on side of injectionMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-08-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache · Be unable to do your normal daily activitiesAdult check-in
- 2021-08-20
- 2021-08-22
- 2021-08-23
-
2021-09-01
Survey response — day 14, dose 1MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-09-14
Dose 2 — Moderna
-
2021-09-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
-
2021-09-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site warmth — Feeling: Good · Site: Redness, Swelling · HeadacheFree text: Injection site very hot to the touchMedDRA releases: 2024-11 · check-in free text available
- 2021-09-21
- 2021-09-28
- 2021-10-05
- 2021-10-12
- 2021-10-21
- 2021-10-28
- 2022-03-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-08-16 | Moderna | No |
| 2 | 2021-09-14 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): Entire arm sore on side of injection
Release 9 — day 14, dose 1
Symptoms: Headaches
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Injection site very hot to the touch
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 | Headache | ✓ | · | ✓ |
| SRO | Injection site warmth | · | · | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release