36J-21544-48893
3 vaccinations
7 coded responses
30 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 804 / CO
- Registered
- 2021-03-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Moderna
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2021-03-13
Registered in v-safe
- 2021-03-13
- 2021-03-19
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2021-03-28
Survey response — day 21, dose 1MedDRA: Cough, Hot flush, Wheezing — Feeling: GoodFree text: Week 3: Slight wheeziness in lungs, followed by slight cough. Hot flashes with unusually low blood pressure (measured 99/58 instead of my normal 115/70). All symptoms were minor and disappeared after about 7 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — day 28, dose 1MedDRA: Rash, Rash erythematous, Rash pruritic — Feeling: FairFree text: Small patches of skin rash on legs. Four red itchy round patches of small bumps about 2 inches in diameter. Otherwise feeling fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Dose 2 — Moderna
- 2021-04-05
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2021-04-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-07
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash, Rash erythematous — Feeling: Fair · Site: Pain, Redness, Swelling · Rash, not including the immediate area around the injection siteFree text: Rash on inner thighs. Started 2 days prior to second vaccine shot. Red itchy bumps in small patches. Mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash, Swelling — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Sill a little rash along inside of thighs down to my knees. Started at top of thighs and progressed down to knees over the past week, starting 4-5 days prior to second vaccine dose. Rash is scattered small patches containing little bumps. Itchy, but only a small number of bumps. Not at all serious.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-21
- 2021-04-29
- 2021-05-04
- 2021-05-10
- 2021-05-17
- 2021-07-05
- 2021-10-04
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2021-10-25
Dose 3 — Moderna
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2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Swelling · Abdominal painAdult check-in
- 2021-10-28
- 2021-10-31
- 2021-11-01
- 2021-11-08
- 2021-11-16
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2021-11-23
Survey response — day 28, dose 3MedDRA: Cough, Fatigue, SARS-CoV-2 test negative, Wheezing — Feeling: GoodFree text: Mild wheeziness in lungs and tiredness. Mild cough. I had a COVID PCR test, which came back negative.MedDRA releases: 2024-11 · check-in free text available
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2021-11-29
Survey response — day 35, dose 3MedDRA: Cough, Diarrhoea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Diarrhia, mild cough.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-06
- 2022-01-24
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2022-04-25
Survey response — 6 months, dose 3MedDRA: Cough, Fatigue, Nasopharyngitis, Pyrexia, SARS-CoV-2 test positive — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough, mild fever, head cold symptoms, tiredness. Tested positive for covid. No medical care or hospitalization needed.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
Free text
Release 6 — day 21, dose 1
Symptoms: Week 3: Slight wheeziness in lungs, followed by slight cough. Hot flashes with unusually low blood pressure (measured 99/58 instead of my normal 115/70). All symptoms were minor and disappeared after about 7 days.
Release 6 — day 28, dose 1
Symptoms: Small patches of skin rash on legs. Four red itchy round patches of small bumps about 2 inches in diameter. Otherwise feeling fine.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Rash on inner thighs. Started 2 days prior to second vaccine shot. Red itchy bumps in small patches. Mild.
Systemic reaction (other): Sill a little rash along inside of thighs down to my knees. Started at top of thighs and progressed down to knees over the past week, starting 4-5 days prior to second vaccine dose. Rash is scattered small patches containing little bumps. Itchy, but only a small number of bumps. Not at all serious.
Release 10 — day 28, dose 3
Symptoms: Mild wheeziness in lungs and tiredness. Mild cough. I had a COVID PCR test, which came back negative.
Release 10 — day 35, dose 3
Symptoms: Diarrhia, mild cough.
Release 11 — 6 months, dose 3
Symptoms: Cough, mild fever, head cold symptoms, tiredness. Tested positive for covid. No medical care or hospitalization needed.
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 | Diarrhoea | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Wheezing | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Swelling | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release