22U-17975-25537
5 vaccinations
5 coded responses
52 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 306 / GA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
-
2021-03-03
Survey response — day 0, dose 2MedDRA: Chills — Feeling: Good · Site: Pain · ChillsFree text: Note: Chills may not be related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-06-02
-
2021-09-01
Survey response — 6 months, dose 2MedDRA: Urticaria — Feeling: Good · Be unable to do your normal daily activitiesFree text: Hives-like rash began late March as 2 mosquito bites. Still with me. Havent seen doc. Curious if immune related. Health same other than this. Last question requires answer, but Ive no idea.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-23
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: The rash is very mild now, was pretty bad earlier; never had before April; likely unrelated to vaccine Feb., March 4. Not relevant unless others report similar.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Rash — Feeling: GoodFree text: The ongoing rash since April, which likely is unrelated to vaccinationMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — day 7, dose 3MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash, ongoing from April (few weeks after 2nd vaccination) likely not vaccine relatedMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2022-01-22
- 2022-04-23
-
2022-05-12
Dose 4 — Moderna
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-18
- 2022-06-23
- 2022-08-11
-
2022-09-09
Dose 5 — Moderna
- 2022-09-27
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-10-23 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Note: Chills may not be related to vaccine.
Release 9 — 6 months, dose 2
Symptoms: Hives-like rash began late March as 2 mosquito bites. Still with me. Havent seen doc. Curious if immune related. Health same other than this. Last question requires answer, but Ive no idea.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The rash is very mild now, was pretty bad earlier; never had before April; likely unrelated to vaccine Feb., March 4. Not relevant unless others report similar.
Systemic reaction (other): The ongoing rash since April, which likely is unrelated to vaccination
Release 10 — day 7, dose 3
Systemic reaction (other): Rash, ongoing from April (few weeks after 2nd vaccination) likely not vaccine related
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 | Urticaria | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release