282-27506-43583
4 vaccinations
4 coded responses
32 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 802 / CO
- Registered
- 2021-01-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-09
Registered in v-safe
-
2021-01-09
Dose 1 — Moderna
- 2021-01-09
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: Brain fog, but maybe not from the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-23
- 2021-01-30
-
2021-02-06
Dose 2 — Moderna
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
-
2021-05-08
Survey response — 3 months, dose 2MedDRA: Head discomfort, Nasal congestion, Nasopharyngitis — Feeling: GoodFree text: I had what was probably a mild cold with a stuffy head and nose but no cough. Lasted about 6 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-07
-
2021-10-25
Dose 3 — Moderna
- 2021-10-27
- 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
Survey response — 3 months, dose 3MedDRA: Exposure to SARS-CoV-2, Headache, Nasal congestion, Oropharyngeal discomfort, Rhinorrhoea, SARS-CoV-2 test — Feeling: FairFree text: Mild headache, stuffy nose, slightly runny nose, uncomfortable in throat area. Both my grandchildren i live with have positive for covid, so i went to get tested today.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
-
2022-05-24
Dose 4 — Moderna
-
2022-06-27
Survey response — day 28, dose 4MedDRA: Influenza — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had Influenza A in May. Caught if from grandchildren that were sick from school exposure. I had a mild case compared to the rest of the family.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-28
- 2022-07-05
- 2022-08-23
- 2022-11-22
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-09 | Moderna | |
| 2 | 2021-02-06 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Brain fog, but maybe not from the shot.
Release 8 — 3 months, dose 2
Symptoms: I had what was probably a mild cold with a stuffy head and nose but no cough. Lasted about 6 days.
Release 11 — 3 months, dose 3
Symptoms: Mild headache, stuffy nose, slightly runny nose, uncomfortable in throat area. Both my grandchildren i live with have positive for covid, so i went to get tested today.
Release 12 — day 28, dose 4
Symptoms: Had Influenza A in May. Caught if from grandchildren that were sick from school exposure. I had a mild case compared to the rest of the family.
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 | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Head discomfort | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal discomfort | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release