2GT-25049-92250
6 vaccinations
8 coded responses
56 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 471 / IN
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-25
Registered in v-safe
- 2021-02-25
-
2021-02-26
Dose 2 — Moderna
-
2021-02-26
Survey response — day 0, dose 2MedDRA: Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: Mild arm soreness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-10-27
Dose 3 — Moderna
-
2021-10-27
Survey response — day 0, dose 3MedDRA: Arthralgia, Axillary pain, Chills, Headache, Injection site pain, Pain — Feeling: Good · Fever · Be unable to do your normal daily activitiesFree text: Day after vaccination, aching, headache, joint aching, chills, soreness at shot sight snd under my arm pit. Symptoms lasted approximately 34 hours.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Muscle spasms — Feeling: GoodFree text: Three different leg cramps in the same leg, same time during the night.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-09
- 2022-01-26
-
2022-04-03
Dose 4 — Moderna
- 2022-04-27
- 2022-04-27
- 2022-05-01
- 2022-05-08
- 2022-05-15
- 2022-07-03
-
2022-09-30
Dose 5 — Moderna
- 2022-09-30
-
2022-10-01
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2022-10-02
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-10-03
- 2022-10-05
- 2022-10-07
-
2022-10-14
Survey response — day 14, dose 5MedDRA: Rash — Feeling: GoodFree text: RashMedDRA releases: 2024-11 · check-in free text available
-
2022-10-21
Survey response — day 21, dose 5MedDRA: Rash — Feeling: FairFree text: Continue to have a rash.MedDRA releases: 2024-11 · check-in free text available
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2022-10-29
Survey response — day 28, dose 5MedDRA: Rash, Rash pruritic — Feeling: GoodFree text: Rash continued. Systemic rash very itchy, began 12 days post vaccine. Started improving three days ago. Still have linear rash that develops randomly from head to toe marginally, but goes away within the hour from developing. The itch is better.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
-
2022-11-11
Survey response — day 42, dose 5MedDRA: Urticaria — Feeling: GoodFree text: Still experiencing occasional hives, but improved. They began two 12 days after my 3rd booster, four weeks ago. They began in my hands and quickly progressed neck, back, abdomen, feet arms. They are now only spontaneous and last only 30-60 minutes.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-30
- 2023-03-31
-
2023-05-02
Dose 6 — Moderna
- 2023-05-08
- 2023-05-09
- 2023-05-16
-
2023-05-23
Survey response — day 21, dose 6MedDRA: Pruritus, Rash, Reaction to previous exposure to any vaccine — Feeling: GoodMedDRA releases: 2024-11
- 2023-05-30
- 2023-06-06
- 2023-06-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-03 | Moderna | No |
| 5 | 2022-09-30 | Moderna | No |
| 6 | 2023-05-02 | Moderna | No |
Free text
Release 4 — day 0, dose 2
Systemic reaction (other): Mild arm soreness.
Release 10 — day 0, dose 3
Systemic reaction (other): Day after vaccination, aching, headache, joint aching, chills, soreness at shot sight snd under my arm pit. Symptoms lasted approximately 34 hours.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Three different leg cramps in the same leg, same time during the night.
Release 12 — day 14, dose 5
Symptoms: Rash
Release 12 — day 21, dose 5
Symptoms: Continue to have a rash.
Release 12 — day 28, dose 5
Symptoms: Rash continued. Systemic rash very itchy, began 12 days post vaccine. Started improving three days ago. Still have linear rash that develops randomly from head to toe marginally, but goes away within the hour from developing. The itch is better.
Release 12 — day 42, dose 5
Symptoms: Still experiencing occasional hives, but improved. They began two 12 days after my 3rd booster, four weeks ago. They began in my hands and quickly progressed neck, back, abdomen, feet arms. They are now only spontaneous and last only 30-60 minutes. 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 | Pruritus | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Urticaria | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Muscle spasms | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release