3AM-16183-21331
5 vaccinations
7 coded responses
51 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 235 / VA
- Registered
- 2021-02-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-24
Registered in v-safe
-
2021-02-24
Dose 1 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 1MedDRA: Pain, Tenderness — Feeling: Fair · Site: PainFree text: Mild to moderate pain, more painful to move and touchMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-02-27
- 2021-02-28
-
2021-03-01
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Redness · Headache, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
-
2021-03-24
Dose 2 — Moderna
- 2021-03-24
-
2021-03-25
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-26
-
2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Headache, Fatigue or tirednessAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — day 7, dose 2MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: Tired, but may not be associated with vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
-
2021-04-14
Survey response — day 21, dose 2MedDRA: Abdominal pain upper — Feeling: FairFree text: Probably has nothing to do with vaccine, but experiencing stomach pain. Seems to be improving after 5 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-30
- 2021-05-05
-
2021-06-23
Survey response — 3 months, dose 2MedDRA: Fatigue, Pre-existing disease, Sinus disorder — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus symptoms mostly, fatigue at times, was hoping for some relief from my COVID tinnitus, but its still with me. Good thing Im unemployedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-22
-
2021-12-01
Dose 3 — Moderna
- 2021-12-03
-
2021-12-04
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain, Sleep disorder — Feeling: Good · Site: PainFree text: Injection site pain is minimal, but it does wake me when I roll onto it while sleeping at nightMedDRA releases: 2024-11 · check-in free text available
- 2021-12-05
- 2021-12-06
- 2021-12-07
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-01-12
- 2022-03-02
-
2022-05-14
Dose 4 — Pfizer-BioNTech
- 2022-06-01
-
2022-10-11
Dose 5 — Moderna
-
2022-10-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2022-10-13
Survey response — days 1–6 daily, dose 5MedDRA: Tenderness — Feeling: Good · Site: PainFree text: Arm pain only on contact, mostly while sleepingMedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-25
- 2022-11-01
- 2022-11-08
- 2022-11-17
- 2022-11-22
-
2023-01-10
Survey response — 3 months, dose 5MedDRA: Cough, Fatigue, Headache, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-24 | Moderna | |
| 3 | 2021-12-01 | Moderna | No |
| 4 | 2022-05-14 | Pfizer-BioNTech | No |
| 5 | 2022-10-11 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Mild to moderate pain, more painful to move and touch
Release 6 — day 7, dose 2
Systemic reaction (other): Tired, but may not be associated with vaccination.
Release 7 — day 21, dose 2
Symptoms: Probably has nothing to do with vaccine, but experiencing stomach pain. Seems to be improving after 5 days.
Release 9 — 3 months, dose 2
Symptoms: Sinus symptoms mostly, fatigue at times, was hoping for some relief from my COVID tinnitus, but its still with me. Good thing Im unemployed
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Injection site pain is minimal, but it does wake me when I roll onto it while sleeping at night
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Arm pain only on contact, mostly while sleeping
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 pain upper | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Sinus disorder | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Sleep disorder | · | · | ✓ |
| SRO | Tenderness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release