2UZ-15635-48267
4 vaccinations
4 coded responses
43 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 864 / AZ
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, NauseaAdult check-in
- 2021-04-16
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Discomfort — Feeling: Good · Site: SwellingFree text: I didnt report but Wednesday during the night each time I got up to go to the bathroom my body felt really heavy for my legs. My legs werent weak but my body felt really heavy.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-20
- 2021-04-21
-
2021-04-28
Survey response — day 14, dose 2MedDRA: Cough, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Sore throat runny nose and coughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
- 2021-10-13
-
2021-10-26
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site mass, Injection site pain, Injection site swelling, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Redness, Swelling, Itching · Headache, Muscle or body aches, Fatigue or tirednessFree text: Swelling, redness, lump, very tender at the injection site. Did not experience this with the first two shots.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: These symptoms were Thursday night two days after I had the vaccine. I missed my check in yesterday.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-04-06
Dose 4 — Moderna
- 2022-04-15
- 2022-04-22
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
- 2022-10-05
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I didnt report but Wednesday during the night each time I got up to go to the bathroom my body felt really heavy for my legs. My legs werent weak but my body felt really heavy.
Release 8 — day 14, dose 2
Symptoms: Sore throat runny nose and cough
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Swelling, redness, lump, very tender at the injection site. Did not experience this with the first two shots.
Systemic reaction (other): These symptoms were Thursday night two days after I had the vaccine. I missed my check in yesterday.
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 | Cough | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Discomfort | ✓ | ✓ | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site mass | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release