ZFS-95578-99028
5 vaccinations
8 coded responses
54 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 041 / ME
- Registered
- 2021-02-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Dose 1 — Moderna
-
2021-02-02
Dose 2 — Moderna
-
2021-02-04
Registered in v-safe
-
2021-02-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection siteAdult check-in
-
2021-02-05
Survey response — days 1–6 daily, dose 2MedDRA: Rash, Rash erythematous, Rash pruritic, Tenderness — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The rash on my arm is still present. It is slightly better then yesterday. Still red and slightly itchy, tender. It is on same arm as injection but lower on arm.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Much improved but not completely gone on same arm as injection but not at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Arm rash 90% improvedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-10
- 2021-02-16
- 2021-02-25
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-05-04
-
2021-08-04
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis — Feeling: GoodFree text: Had a coldMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
-
2022-04-19
Dose 4 — Moderna
- 2022-04-20
- 2022-04-21
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Pruritus — Feeling: Good · Site: Redness, ItchingFree text: The redness and itching is below the injection site - similar although less severe then after 2nd vaccine.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Site: Redness, ItchingFree text: The redness has subsided some and less itchy. This is below injection site.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-07-21
- 2022-10-18
-
2022-10-31
Dose 5 — Moderna
-
2022-11-01
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-11-02
Survey response — days 1–6 daily, dose 5MedDRA: Feeling abnormal — Feeling: Good · Fatigue or tirednessFree text: Just feel off. Not bad just differentMedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-04
- 2022-11-05
- 2022-11-06
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2022-12-12
- 2023-02-01
-
2023-05-01
Survey response — 6 months, dose 5MedDRA: COVID-19, Fatigue, Impaired work ability, Nasopharyngitis — Feeling: Good · Be unable to work or attend schoolMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-02 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-10-31 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): The rash on my arm is still present. It is slightly better then yesterday. Still red and slightly itchy, tender. It is on same arm as injection but lower on arm.
Systemic reaction (other): Much improved but not completely gone on same arm as injection but not at injection site
Systemic reaction (other): Arm rash 90% improved
Release 9 — 6 months, dose 2
Symptoms: Had a cold
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The redness and itching is below the injection site - similar although less severe then after 2nd vaccine.
Systemic reaction (other): The redness has subsided some and less itchy. This is below injection site.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Just feel off. Not bad just different
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 | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release