3LU-23707-21321
5 vaccinations
4 coded responses
19 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 958 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
- 2021-02-01
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain — Feeling: Good · Site: PainFree text: Since the injection, the only (very mild) pain is when I over-extend my forearm or am touched at the injection site, and so I do not lie on this arm yet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: Im going to opt out of these check-ins, as I have been % normal for a few days now. Thank you !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
- 2021-08-30
- 2022-03-01
-
2022-04-18
Dose 3 — Moderna
-
2022-04-25
Survey response — day 7, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: (I went very calmly to receive this booster shot.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
-
2022-07-18
Survey response — 3 months, dose 3MedDRA: Body temperature increased, Cough, Nasopharyngitis, Pain, Rhinorrhoea — Feeling: GoodFree text: On Juneteenth (June 19), 2022 I had one-day of Covid symptoms: 100.4 temperature ?? and mild, but whole body aches. I had already begun to have a mild, nose-blowing cold a few days earlier, with a mild cough. I tested negative at home on 6-20thMedDRA releases: 2024-11 · check-in free text available
-
2022-09-19
Dose 4 — Pfizer-BioNTechCo-administered: Flu
-
2022-10-27
Dose 5 — Moderna
- 2023-04-21
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2022-04-18 | Moderna | No |
| 4 | 2022-09-19 | Pfizer-BioNTech | Flu |
| 5 | 2022-10-27 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Since the injection, the only (very mild) pain is when I over-extend my forearm or am touched at the injection site, and so I do not lie on this arm yet.
Systemic reaction (other): Im going to opt out of these check-ins, as I have been % normal for a few days now. Thank you !
Release 11 — day 7, dose 3
Systemic reaction (other): (I went very calmly to receive this booster shot.
Release 12 — 3 months, dose 3
Symptoms: On Juneteenth (June 19), 2022 I had one-day of Covid symptoms: 100.4 temperature ?? and mild, but whole body aches. I had already begun to have a mild, nose-blowing cold a few days earlier, with a mild cough. I tested negative at home on 6-20th
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release