348-20308-66432
4 vaccinations
4 coded responses
40 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 860 / AZ
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-03
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-28
-
2021-10-27
Dose 3 — ModernaCo-administered: Flu
-
2022-03-01
Survey response — 12 months, dose 2MedDRA: Abdominal discomfort, Pain in extremity, Rash — Feeling: Good · Be unable to do your normal daily activitiesFree text: I Have had a small rash break out in my upper left side of my back this has been going on since September on and off a little rash present . pain down my left arm last week and GI upset. I have a feeling it was a shingles flare .MedDRA releases: 2024-11 · check-in free text available
-
2022-04-27
Dose 4 — Moderna
- 2022-04-27
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-01
-
2022-05-02
Survey response — days 1–6 daily, dose 4MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Very slight rash on the left side of my back seems to come and go on and off so mild that most people can't see it but I can feel it could be something completely unrelated although I never had it before Covid vaccinesMedDRA releases: 2024-11 · check-in free text available
- 2022-05-03
-
2022-05-04
Survey response — day 7, dose 4MedDRA: Rash — Feeling: GoodFree text: Rash Gone for nowMedDRA releases: 2024-11 · check-in free text available
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-07-28
-
2022-10-28
Survey response — 6 months, dose 4MedDRA: COVID-19, Fatigue, Malaise, Nasopharyngitis, Rhinorrhoea — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: COVID variant sick for 3 days cold symptoms runny nose fatiguedMedDRA releases: 2024-11 · check-in free text available
- 2023-04-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-27 | Moderna | Flu |
| 4 | 2022-04-27 | Moderna | No |
Free text
Release 11 — 12 months, dose 2
Symptoms: I Have had a small rash break out in my upper left side of my back this has been going on since September on and off a little rash present . pain down my left arm last week and GI upset. I have a feeling it was a shingles flare .
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Very slight rash on the left side of my back seems to come and go on and off so mild that most people can't see it but I can feel it could be something completely unrelated although I never had it before Covid vaccines
Release 11 — day 7, dose 4
Systemic reaction (other): Rash Gone for now
Release 12 — 6 months, dose 4
Symptoms: COVID variant sick for 3 days cold symptoms runny nose fatigued
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 discomfort | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Rash | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release