29Z-39055-97645
4 vaccinations
6 coded responses
51 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 066 / CT
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
-
2021-03-12
Survey response — day 0, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain, SwellingFree text: Mild Foggy sensationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injection site pain, Pain in extremity, Sleep disorder — Feeling: Good · Site: Pain, Swelling · Be unable to do your normal daily activitiesFree text: Overnight, I experienced pain from my shoulder to my elbow, enough that it woke me several times during the night. By morning it had subsided to mild pain at the site. No change throughout the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
-
2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · HeadacheFree text: Headache is probably from incoming low pressure weather system.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort, Diarrhoea — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Mild Intestinal distress and Loose bowel movementsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Headache, Joint pains, Fatigue or tirednessAdult check-in
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-05-21
- 2021-07-09
- 2021-10-10
-
2022-01-05
Dose 3 — Moderna
-
2022-01-07
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Headache, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-01-08
- 2022-01-09
- 2022-01-10
- 2022-01-11
- 2022-01-12
- 2022-01-19
-
2022-01-26
Survey response — day 21, dose 3MedDRA: COVID-19, Cough, Headache, Pyrexia, Respiratory tract congestion, Rhinorrhoea, Sneezing, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID-Headache, fever, vomiting congestion, sneezing, coughing, runny noseMedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
- 2022-02-11
-
2022-02-16
Survey response — day 42, dose 3MedDRA: Asthma — Feeling: GoodFree text: Asthma symptomsMedDRA releases: 2024-11 · check-in free text available
- 2022-04-06
- 2022-07-06
-
2022-08-14
Dose 4 — Moderna
-
2022-08-15
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
- 2022-08-17
- 2022-08-18
- 2022-08-19
- 2022-08-20
- 2022-08-21
- 2022-08-28
- 2022-09-04
- 2022-09-11
- 2022-09-18
- 2022-09-25
- 2022-11-13
- 2023-02-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2022-01-05 | Moderna | No |
| 4 | 2022-08-14 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Mild Foggy sensation
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Overnight, I experienced pain from my shoulder to my elbow, enough that it woke me several times during the night. By morning it had subsided to mild pain at the site. No change throughout the day.
Systemic reaction (other): Headache is probably from incoming low pressure weather system.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Mild Intestinal distress and Loose bowel movements
Release 11 — day 21, dose 3
Symptoms: COVID-Headache, fever, vomiting congestion, sneezing, coughing, runny nose
Release 11 — day 42, dose 3
Symptoms: Asthma symptoms
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 | Asthma | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ○ | ✓ | ○ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | · | ✓ |
| SRO | Sleep disorder | ✓ | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release