3C8-29018-64893
4 vaccinations
4 coded responses
26 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 334 / FL
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
-
2021-03-02
Survey response — day 0, dose 1MedDRA: Pre-existing disease — Feeling: Good · DiarrheaFree text: This, however has been a previous chronic problem...just not in a long while.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-16
- 2021-03-23
-
2021-03-30
Dose 2 — Moderna
- 2021-03-30
-
2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Arthritis, Pain in extremity, Pre-existing disease — Feeling: Good · Joint pains, Fatigue or tirednessFree text: The next day have had a pain on my left foot and ankle but dont think this has anything to do with the shot...perhaps too much activity where Ive created a problem with arthritis.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Swelling, Itching · Joint pains, Muscle or body aches, DiarrheaAdult check-in
- 2021-04-22
- 2021-06-29
-
2021-11-30
Dose 3 — Moderna
- 2022-04-01
-
2022-05-26
Dose 4 — Moderna
- 2022-05-31
-
2022-05-31
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Fatigue, Headache — Feeling: Good · Site: Swelling, ItchingFree text: Following day, felt fatigue, slight headache, moderate chills. Today, five days after, feel fine.MedDRA releases: 2024-11 · check-in free text available
-
2022-06-02
Survey response — day 7, dose 4MedDRA: Headache, Pain, Pruritus, Swelling — Feeling: Good · Site: Swelling, ItchingFree text: I hate minor swelling and itching. Minor headache, aching the couple days after injection. Now, all is. Well.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2023-05-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna | |
| 3 | 2021-11-30 | Moderna | No |
| 4 | 2022-05-26 | Moderna | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): This, however has been a previous chronic problem...just not in a long while.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): The next day have had a pain on my left foot and ankle but dont think this has anything to do with the shot...perhaps too much activity where Ive created a problem with arthritis.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Following day, felt fatigue, slight headache, moderate chills. Today, five days after, feel fine.
Release 11 — day 7, dose 4
Systemic reaction (other): I hate minor swelling and itching. Minor headache, aching the couple days after injection. Now, all is. Well.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Arthritis | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Unevaluable event | · | · | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release