32J-30707-75065
2 vaccinations
2 coded responses
22 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 853 / AZ
- Registered
- 2021-04-22
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-22
Registered in v-safe
-
2021-04-22
Dose 1 — Moderna
- 2021-04-22
-
2021-04-23
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
-
2021-05-06
Survey response — day 14, dose 1MedDRA: Medical counselling, Urine analysis abnormal, Urticaria — Feeling: FairFree text: 5-3 & 5-5 noticed my urine contained small pieces of bile. Spoke to Dr.s assistant earlier, thinks symptom may be due to gastric concerns. Ill find out hopefully tomorrow if she wants me to go to her office! A big red welt is on my left arm!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
-
2021-05-20
Dose 2 — Moderna
- 2021-05-20
-
2021-05-21
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain, Swelling · Fatigue or tirednessFree text: Nothing to do with Covid but, last night ate too msny carbs after 20:25. Woke up felt like blood pressure was low. Ate kiwi, tangerine, oatmeal seperstrky to feel better. Im prediabetes and none of what Im feeling earlier had nothing to do with Covid 19 vaccine!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-23
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling, Itching · NoneAdult check-in
- 2021-05-25
- 2021-05-26
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-06-24
- 2021-07-01
- 2021-08-19
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-22 | Moderna | |
| 2 | 2021-05-20 | Moderna |
Free text
Release 8 — day 14, dose 1
Symptoms: 5-3 & 5-5 noticed my urine contained small pieces of bile. Spoke to Dr.s assistant earlier, thinks symptom may be due to gastric concerns. Ill find out hopefully tomorrow if she wants me to go to her office! A big red welt is on my left arm!
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Nothing to do with Covid but, last night ate too msny carbs after 20:25. Woke up felt like blood pressure was low. Ate kiwi, tangerine, oatmeal seperstrky to feel better. Im prediabetes and none of what Im feeling earlier had nothing to do with Covid 19 vaccine!
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 | Medical counselling | ✓ | ✓ | ✓ |
| SD | Urine analysis abnormal | ✓ | ✓ | ✓ |
| SD | Urticaria | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release