2HZ-49670-44652
5 vaccinations
9 coded responses
27 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 327 / FL
- Registered
- 2022-04-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-31
Dose 1 — Moderna
-
2021-01-28
Dose 2 — Moderna
-
2021-10-26
Dose 3 — Pfizer-BioNTech
-
2022-04-18
Registered in v-safe
-
2022-04-18
Dose 4 — Moderna
- 2022-04-18
-
2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-04-20
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2022-04-21
Survey response — days 1–6 daily, dose 4MedDRA: Lymph node pain, Night sweats — Feeling: Good · Site: PainFree text: night sweat last night and tender lymph nodes under arm on injection sideMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Night sweats, Tenderness — Feeling: GoodFree text: night sweat and neck tenderness on vaccine side.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
-
2022-05-02
Survey response — day 14, dose 4MedDRA: Pre-existing disease, Toothache — Feeling: GoodFree text: dental pain-possibly from an old root canal treatment unrelated to vaccine.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
- 2022-05-16
-
2022-05-23
Survey response — day 35, dose 4MedDRA: Fatigue — Feeling: FairFree text: Just very tired. Returned from a short air travel almost a week ago so that may have contributed.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-30
- 2022-07-18
-
2022-10-06
Dose 5 — Moderna
-
2022-10-07
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-10-08
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
-
2022-10-09
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
-
2022-10-10
Survey response — days 1–6 daily, dose 5MedDRA: Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: a bit sore on inside of arm near shoulder but not at injection site. No redness or swelling visible.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-11
Survey response — days 1–6 daily, dose 5MedDRA: Lymph node pain — Feeling: Good · Site: PainFree text: seem to have some tender lymph node tenderness in neck, under jaw and tonsil area of injected side.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-12
- 2022-10-13
-
2022-10-20
Survey response — day 14, dose 5MedDRA: Blepharitis, Eye inflammation — Feeling: GoodFree text: inflammation of eyelids and eyes, possible contact with yard debris while trimming after hurricane. prescribed antibiotic/anti-inflammatory eye drops x one week.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-27
Survey response — day 21, dose 5MedDRA: Chest discomfort, Discomfort, Sensory disturbance — Feeling: GoodFree text: fluttering/pressure sensation in Abdominal and chest area. Diagnosed as possible acid reflux.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-05
-
2023-04-06
Survey response — 6 months, dose 5MedDRA: Abdominal pain, Helicobacter infection, Pain — Feeling: Good · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-31 | Moderna | No |
| 2 | 2021-01-28 | Moderna | No |
| 3 | 2021-10-26 | Pfizer-BioNTech | No |
| 4 | 2022-04-18 | Moderna | No |
| 5 | 2022-10-06 | Moderna | No |
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): night sweat last night and tender lymph nodes under arm on injection side
Systemic reaction (other): night sweat and neck tenderness on vaccine side.
Release 11 — day 14, dose 4
Symptoms: dental pain-possibly from an old root canal treatment unrelated to vaccine.
Release 11 — day 35, dose 4
Symptoms: Just very tired. Returned from a short air travel almost a week ago so that may have contributed.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): a bit sore on inside of arm near shoulder but not at injection site. No redness or swelling visible.
Systemic reaction (other): seem to have some tender lymph node tenderness in neck, under jaw and tonsil area of injected side.
Release 12 — day 14, dose 5
Symptoms: inflammation of eyelids and eyes, possible contact with yard debris while trimming after hurricane. prescribed antibiotic/anti-inflammatory eye drops x one week.
Release 12 — day 21, dose 5
Symptoms: fluttering/pressure sensation in Abdominal and chest area. Diagnosed as possible acid reflux.
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 | Abdominal pain | · | · | ✓ |
| SD | Blepharitis | · | · | ✓ |
| SD | Chest discomfort | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Eye inflammation | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Helicobacter infection | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Sensory disturbance | · | · | ✓ |
| SD | Toothache | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Night sweats | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release