25F-66990-03210
4 vaccinations
3 coded responses
49 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 010 / MA
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-28
Registered in v-safe
-
2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Headache, Pain in extremity — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: VERY sore arm the evening of 1st day-from elbow to shoulder and going up to neck. Mild Headache also first evening. Yesterday, 2nd day, moderate arm soreness but only around injection site. Mild headache in evening, fatigue and general run down feeling entire day. Today, 3rd day, no headache and just a touch of fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
- 2021-02-23
-
2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort — Feeling: Good · Site: Pain · Muscle or body achesFree text: More of a soreness around the injection site, not really painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-11
-
2021-03-16
Survey response — day 21, dose 2MedDRA: SARS-CoV-2 test negative — Feeling: GoodFree text: DO NOT have any symptoms just wanted a way to relate some info to you. I provide home care to a 92 yr old male 1-2 days wk.I was with him Sun & Mon(5pm-9am) on 3/7 and 3/8.He tested positive on 3/10. I tested on 3/13 negative(rapid)& lab result-neg!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-10-26
Dose 3 — Moderna
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-10-24
Dose 4 — ModernaCo-administered: Flu
-
2022-10-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-26
- 2022-10-28
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-07
- 2022-11-14
- 2022-11-21
- 2022-11-28
- 2022-12-05
- 2023-01-23
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-10-24 | Moderna | Flu |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): VERY sore arm the evening of 1st day-from elbow to shoulder and going up to neck. Mild Headache also first evening. Yesterday, 2nd day, moderate arm soreness but only around injection site. Mild headache in evening, fatigue and general run down feeling entire day. Today, 3rd day, no headache and just a touch of fatigue.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): More of a soreness around the injection site, not really pain
Release 5 — day 21, dose 2
Symptoms: DO NOT have any symptoms just wanted a way to relate some info to you. I provide home care to a 92 yr old male 1-2 days wk.I was with him Sun & Mon(5pm-9am) on 3/7 and 3/8.He tested positive on 3/10. I tested on 3/13 negative(rapid)& lab result-neg! 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 | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release