ZE4-85512-51738
4 vaccinations
4 coded responses
47 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 432 / OH
- Registered
- 2020-12-31
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-30
Dose 1 — Moderna
-
2020-12-31
Registered in v-safe
- 2020-12-31
- 2021-01-01
- 2021-01-03
- 2021-01-04
- 2021-01-06
-
2021-01-13
Survey response — day 14, dose 1MedDRA: Erythema, Injection site reaction, Pruritus, Swelling — Feeling: GoodFree text: Worsening of injection site reaction (erythema, swelling, itching) which developed on post vaccine day 7 (vaccine day = day 0). The erythema spread over the next couple of days to ~ 3 inch x 4 inch in diameter. The swelling was the worst on day 7.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-21
Survey response — day 21, dose 1MedDRA: Injection site reaction, Urticaria — Feeling: GoodFree text: Occasional small spots of hives on my abdomen and neck that occurred 4-5 times in the last 2 weeks. They first appeared with the delayed injection site reaction, but incidents have decreased since.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-27
Survey response — day 28, dose 1MedDRA: Urticaria — Feeling: GoodFree text: I continue to have intermittent urticaria. Onset of these effects was not till after receiving the vaccine. Might be related more to my immune system rather than the vaccine itself. Will still get dose 2 in a couple of days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-29
Dose 2 — Moderna
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2021-02-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-02-05
- 2021-02-12
-
2021-02-19
Survey response — day 21, dose 2MedDRA: Lymphadenopathy — Feeling: GoodFree text: Pea-sized lump at inguinal lymph node. Not sure if its related to vaccine or not.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-04-30
- 2021-07-30
-
2021-11-19
Dose 3 — Moderna
-
2021-11-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-01-02
- 2022-02-18
- 2022-05-20
-
2022-11-09
Dose 4 — Moderna
- 2022-11-09
-
2022-11-10
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2022-11-11
- 2022-11-12
- 2022-11-13
- 2022-11-14
- 2022-11-15
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2022-12-14
- 2022-12-21
- 2023-02-08
- 2023-05-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-30 | Moderna | |
| 2 | 2021-01-29 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-11-09 | Moderna | No |
Free text
Release 1 — day 14, dose 1
Symptoms: Worsening of injection site reaction (erythema, swelling, itching) which developed on post vaccine day 7 (vaccine day = day 0). The erythema spread over the next couple of days to ~ 3 inch x 4 inch in diameter. The swelling was the worst on day 7.
Release 2 — day 21, dose 1
Symptoms: Occasional small spots of hives on my abdomen and neck that occurred 4-5 times in the last 2 weeks. They first appeared with the delayed injection site reaction, but incidents have decreased since.
Release 2 — day 28, dose 1
Symptoms: I continue to have intermittent urticaria. Onset of these effects was not till after receiving the vaccine. Might be related more to my immune system rather than the vaccine itself. Will still get dose 2 in a couple of days.
Release 4 — day 21, dose 2
Symptoms: Pea-sized lump at inguinal lymph node. Not sure if its related to vaccine or not.
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 | Erythema | ✓ | ✓ | ✓ |
| SD | Injection site reaction | ✓ | ✓ | ✓ |
| SD | Lymphadenopathy | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Swelling | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release