3G5-10203-19952
5 vaccinations
7 coded responses
60 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-13
Registered in v-safe
-
2021-02-13
Dose 1 — Moderna
- 2021-02-13
- 2021-02-14
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-27
- 2021-03-06
- 2021-03-13
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia, Self-medication — Feeling: GoodFree text: Just FYI...last night I had a slight fever...100.1...which went down once I took Tylenol. I woke up today feeling fine!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Neck pain — Feeling: GoodFree text: Woke up with a sore neck but most likely its due to the way I slept.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
- 2021-09-13
-
2021-10-22
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: Cough, Rhinorrhoea, SARS-CoV-2 test positive — Feeling: FairFree text: I tested positive for covid. I have sniffles and a mild cough.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-22
-
2022-04-28
Dose 4 — Moderna
-
2022-04-30
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Headache, Injection site pain, Pain — Feeling: GoodFree text: The day of the booster I had pain at the injection site, mild body aches, mild chills, slight headache. Symptoms lasted about 24 hours and then I was fine!MedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-07-28
-
2022-10-07
Dose 5 — Moderna
- 2022-10-11
- 2022-10-12
- 2022-10-13
- 2022-10-14
- 2022-10-21
-
2022-10-28
Survey response — day 21, dose 5MedDRA: Lacrimation increased, Nasopharyngitis, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: Just cold-like symptoms?runny nose, eyes. Could be allergies. Took covid test just in case?it was negative.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-04
Survey response — day 28, dose 5MedDRA: Nasopharyngitis, SARS-CoV-2 test negative — Feeling: GoodFree text: Just a cold I think!?!?! But all better now! Did 3 Covid tests, just in case?all were negative!MedDRA releases: 2024-11 · check-in free text available
- 2022-11-11
-
2022-11-18
Survey response — day 42, dose 5MedDRA: Blood albumin increased, Creatinine urine increased — Feeling: GoodFree text: Unusually high, for me, urine creatinine and albumin. Waiting to hear if my Dr. wants to do a retest.MedDRA releases: 2024-11 · check-in free text available
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-13 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
| 5 | 2022-10-07 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Just FYI...last night I had a slight fever...100.1...which went down once I took Tylenol. I woke up today feeling fine!
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Woke up with a sore neck but most likely its due to the way I slept.
Release 11 — 3 months, dose 3
Symptoms: I tested positive for covid. I have sniffles and a mild cough.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): The day of the booster I had pain at the injection site, mild body aches, mild chills, slight headache. Symptoms lasted about 24 hours and then I was fine!
Release 12 — day 21, dose 5
Symptoms: Just cold-like symptoms?runny nose, eyes. Could be allergies. Took covid test just in case?it was negative.
Release 12 — day 28, dose 5
Symptoms: Just a cold I think!?!?! But all better now! Did 3 Covid tests, just in case?all were negative!
Release 12 — day 42, dose 5
Symptoms: Unusually high, for me, urine creatinine and albumin. Waiting to hear if my Dr. wants to do a retest.
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 | Blood albumin increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Creatinine urine increased | · | · | ✓ |
| SD | Lacrimation increased | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release