2Z9-67949-03069
6 vaccinations
9 coded responses
53 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 219 / MD
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 2 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Sinusitis — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Feels like I have a mild sinus infection Tummy isa little unhappy, but not that muchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal discomfort — Feeling: Good · Site: Redness, Swelling · Fever · Muscle or body aches, Fatigue or tirednessFree text: Overall, good. Stomach not quite right, but not enough to call it nauseaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-09
Survey response — days 1–6 daily, dose 2MedDRA: Injection site discomfort, Limb discomfort — Feeling: GoodFree text: Arm is a little sore at and around injection site. Not painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-19
Survey response — day 14, dose 2MedDRA: Headache — Feeling: GoodFree text: I have had a headache for past 2 days. I dont get headaches. No fever. Dont know if has anything to do with vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-03
-
2021-10-24
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: Redness, SwellingFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: Clinically spot where got injection might be a little raised, but not noticable.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-09
Dose 4 — Moderna
- 2022-04-18
- 2022-04-23
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-05-21
- 2022-07-09
-
2022-09-16
Dose 5 — Pfizer-BioNTech
- 2022-09-27
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
-
2023-05-10
Dose 6 — Moderna
- 2023-05-10
- 2023-05-11
- 2023-05-12
- 2023-05-13
- 2023-05-14
-
2023-05-15
Survey response — days 1–6 daily, dose 6MedDRA: Lymphadenopathy — Feeling: GoodMedDRA releases: 2024-11
-
2023-05-16
Survey response — days 1–6 daily, dose 6MedDRA: Lymphadenopathy — Feeling: Good · HeadacheMedDRA releases: 2024-11
-
2023-05-17
Survey response — day 7, dose 6MedDRA: Oropharyngeal pain — Feeling: Fair · Headache, Fatigue or tirednessMedDRA releases: 2024-11
- 2023-05-24
- 2023-05-31
- 2023-06-07
- 2023-06-14
- 2023-06-21
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-09 | Moderna | No |
| 5 | 2022-09-16 | Pfizer-BioNTech | No |
| 6 | 2023-05-10 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Feels like I have a mild sinus infection Tummy isa little unhappy, but not that much
Systemic reaction (other): Overall, good. Stomach not quite right, but not enough to call it nausea
Systemic reaction (other): Arm is a little sore at and around injection site. Not painful
Release 6 — day 14, dose 2
Symptoms: I have had a headache for past 2 days. I dont get headaches. No fever. Dont know if has anything to do with vaccine
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): No
Systemic reaction (other): Clinically spot where got injection might be a little raised, but not noticable.
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 | Headache | ✓ | ✓ | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Injection site discomfort | ✓ | ✓ | ✓ |
| SRO | Limb discomfort | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oropharyngeal pain | · | · | ✓ |
| SRO | Sinusitis | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release