22H-18613-05404
2 vaccinations
12 coded responses
26 check-ins
12 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 234 / VA
- Registered
- 2021-03-31
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-31
Registered in v-safe
-
2021-03-31
Dose 1 — Moderna
-
2021-03-31
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: No so far everything is wellMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Mobility decreased, Peripheral swelling — Feeling: Good · Site: SwellingFree text: My left hand middle finger swollen and causing a little difficultyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Peripheral swelling — Feeling: Good · Site: SwellingFree text: None other than as I stated yesterday on my left hand my middle finger are swollen that is all.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: GoodFree text: Everything is find, other than the same usualMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: No, everything is fine and sameMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-06
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — day 7, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-21
-
2021-04-28
Dose 2 — Moderna
-
2021-04-28
Survey response — day 0, dose 2MedDRA: No adverse event — Feeling: GoodFree text: No, so far so good!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Survey response — days 1–6 daily, dose 2MedDRA: Sinus disorder — Feeling: GoodFree text: My SinusesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-30
- 2021-05-01
- 2021-05-02
- 2021-05-03
- 2021-05-04
- 2021-05-05
-
2021-05-14
Survey response — day 14, dose 2MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-07-28
- 2021-10-31
-
2022-04-28
Survey response — 12 months, dose 2MedDRA: COVID-19, Cough, Feeding disorder, Feeling abnormal, Mobility decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had Covid the first of the year, I started feeling bad and coughing on New Eve and New I couldn't eat and I started coughing more and more I began laying out unable to anything even take my medication I was supposed to take my Booster on 01/03/20MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-31 | Moderna | |
| 2 | 2021-04-28 | Moderna |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): No so far everything is well
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): My left hand middle finger swollen and causing a little difficulty
Systemic reaction (other): None other than as I stated yesterday on my left hand my middle finger are swollen that is all.
Systemic reaction (other): Everything is find, other than the same usual
Systemic reaction (other): No, everything is fine and same
Systemic reaction (other): No
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 7 — day 7, dose 1
Systemic reaction (other): No
Release 8 — day 0, dose 2
Systemic reaction (other): No, so far so good!
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): My Sinuses
Release 8 — day 14, dose 2
Symptoms: None
Release 11 — 12 months, dose 2
Symptoms: I had Covid the first of the year, I started feeling bad and coughing on New Eve and New I couldn't eat and I started coughing more and more I began laying out unable to anything even take my medication I was supposed to take my Booster on 01/03/20 cut off by CDC
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Feeding disorder | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | No adverse event | ✓ | ✓ | ✓ |
| SRO | Mobility decreased | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release