Z9A-17254-03989
2 vaccinations
2 coded responses
10 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 430 / OH
- Registered
- 2021-03-19
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-19
Registered in v-safe
-
2021-03-19
Survey response — day 14, dose 1MedDRA: Injection site discomfort, Injection site pruritus, Injection site rash, Injection site swelling, Rash erythematous — Feeling: FairFree text: Large red rash at injection site. Little itchy, little swollen, and at times a little uncomfortable. This started about 8 days after first injection and lasted about 4 days. It went went away but has now returned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Survey response — day 21, dose 1MedDRA: Immunisation reaction, Injection site erythema, Injection site pruritus, Injection site swelling, Myalgia — Feeling: GoodFree text: Last check in I had the symptoms of COVID arm for the second time since my first injection. The symptoms ( red rash, swelling, and some itching) continued for an additional day and one-half. I do have some muscle tenderness in the arm at times.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Dose 2 — Moderna
-
2021-04-01
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fever · Headache, Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna |
Free text
Release 5 — day 14, dose 1
Symptoms: Large red rash at injection site. Little itchy, little swollen, and at times a little uncomfortable. This started about 8 days after first injection and lasted about 4 days. It went went away but has now returned.
Release 6 — day 21, dose 1
Symptoms: Last check in I had the symptoms of COVID arm for the second time since my first injection. The symptoms ( red rash, swelling, and some itching) continued for an additional day and one-half. I do have some muscle tenderness in the arm at times.
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 | Immunisation reaction | ✓ | ✓ | ✓ |
| SD | Injection site discomfort | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release