3KS-67274-92518
4 vaccinations
7 coded responses
39 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 300 / GA
- Registered
- 2021-01-21
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Registered in v-safe
-
2021-01-21
Dose 1 — Moderna
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
-
2021-02-04
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: The area around the injection site started itching on the 8th day. No rash or heat from area just itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
-
2021-02-25
Survey response — day 7, dose 2MedDRA: Body temperature increased, Fatigue — Feeling: Good · Site: PainFree text: On the 2/19 day after 2nd vaccine I was very tired and my temp was 101.3 last about 18 hrs back to normal nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-04
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Transient joint pains.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-11
- 2021-03-20
- 2021-03-25
- 2021-04-01
- 2021-05-20
- 2021-08-19
-
2021-10-31
Dose 3 — Moderna
-
2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to work or attend schoolFree text: Some dizzinessMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Head congestion and cough like I have a coldMedDRA releases: 2024-11 · check-in free text available
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Productive cough — Feeling: FairFree text: Coughing and clear, sticky phlegmMedDRA releases: 2024-11 · check-in free text available
- 2021-11-05
- 2021-11-06
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2021-12-14
- 2022-01-30
-
2022-05-05
Dose 4 — Moderna
- 2022-05-08
-
2022-05-19
Survey response — day 14, dose 4MedDRA: Blood pressure decreased, Headache, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: Directly after the 2nd Booster my temp went up to 102* for about 10 hours. I had sever headache and my Blood pressure dropped. The headache and blood pressure drop lasted 24 hrs.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-08-04
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-05-05 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: The area around the injection site started itching on the 8th day. No rash or heat from area just itching.
Release 4 — day 7, dose 2
Systemic reaction (other): On the 2/19 day after 2nd vaccine I was very tired and my temp was 101.3 last about 18 hrs back to normal now
Release 5 — day 14, dose 2
Symptoms: Transient joint pains.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Some dizziness
Systemic reaction (other): Head congestion and cough like I have a cold
Systemic reaction (other): Coughing and clear, sticky phlegm
Release 11 — day 14, dose 4
Symptoms: Directly after the 2nd Booster my temp went up to 102* for about 10 hours. I had sever headache and my Blood pressure dropped. The headache and blood pressure drop lasted 24 hrs.
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 | Arthralgia | ✓ | ✓ | ✓ |
| SD | Blood pressure decreased | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | Productive cough | · | · | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release