28N-30362-91924
4 vaccinations
5 coded responses
41 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 752 / TX
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 1 — Moderna
- 2021-02-03
-
2021-02-04
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
-
2021-02-17
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Vaccination site rash — Feeling: GoodFree text: Rash on arm around vaccination site. Roughly 2x3 inches. Very itchy at times. Lasted about 2-3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
-
2021-03-03
Dose 2 — Moderna
-
2021-03-03
Survey response — day 0, dose 2MedDRA: Back pain — Feeling: GoodFree text: Back pain mildMedDRA 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, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 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
-
2021-12-17
Dose 3 — Moderna
-
2022-03-03
Survey response — 12 months, dose 2MedDRA: Nasopharyngitis, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: 2 weeks ago had one symptom constant nasal drainage. No other issues 2 negative home tests. Took another home test right before a pcr test. Both negative. So was a coldMedDRA releases: 2024-11 · check-in free text available
-
2022-09-20
Dose 4 — Moderna
- 2022-09-20
-
2022-09-21
Survey response — days 1–6 daily, dose 4MedDRA: Dizziness — Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Got dizzy suddenly, but went away quicklyMedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-23
- 2022-09-24
- 2022-09-25
- 2022-09-26
- 2022-09-27
- 2022-10-04
- 2022-10-11
- 2022-10-18
-
2022-10-25
Survey response — day 35, dose 4MedDRA: Fatigue, Pyrexia, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a high fever last thursday along w/ fatigue, gone within 24 hours. Tested negative for covid that day. Today, tuesday, also tested negative for covid. Only that 24 hour stretch was bad.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-01
- 2022-12-20
- 2023-03-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-03 | Moderna | |
| 2 | 2021-03-03 | Moderna | |
| 3 | 2021-12-17 | Moderna | No |
| 4 | 2022-09-20 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: Rash on arm around vaccination site. Roughly 2x3 inches. Very itchy at times. Lasted about 2-3 days
Release 5 — day 0, dose 2
Systemic reaction (other): Back pain mild
Release 11 — 12 months, dose 2
Symptoms: 2 weeks ago had one symptom constant nasal drainage. No other issues 2 negative home tests. Took another home test right before a pcr test. Both negative. So was a cold
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Got dizzy suddenly, but went away quickly
Release 12 — day 35, dose 4
Symptoms: Had a high fever last thursday along w/ fatigue, gone within 24 hours. Tested negative for covid that day. Today, tuesday, also tested negative for covid. Only that 24 hour stretch was bad.
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 | Fatigue | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vaccination site rash | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release