3ND-23366-26845
4 vaccinations
5 coded responses
45 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 342 / FL
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Registered in v-safe
-
2021-01-10
Dose 1 — Moderna
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-17
- 2021-01-24
- 2021-01-31
-
2021-02-07
Dose 2 — Moderna
- 2021-02-07
-
2021-02-08
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Headache, Pain in extremity, Peripheral swelling, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Symptoms started 10 hrs after shot, arm was very sore, swollen, severe chills and fever. Slight headache. Better today, still have low grade fever, chills and tired but symptoms are better. Swelling in arm has gone down, arm not as sore.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-09
- 2021-02-11
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-21
- 2021-02-28
- 2021-03-07
-
2021-03-14
Survey response — day 35, dose 2MedDRA: Dry mouth, Thirst — Feeling: GoodFree text: My mouth was very dry and I was very thirsty for a few days right after the second vaccine. Now for the last week my mouth is again very dry and I am extremely thirsty.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-21
Survey response — day 42, dose 2MedDRA: Dry mouth — Feeling: GoodFree text: My mouth is still very dry. I reported it last week and its about the same.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-09
- 2021-08-08
-
2021-10-25
Dose 3 — Moderna
- 2021-10-25
- 2021-10-26
- 2021-10-27
- 2021-10-28
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Rhinorrhoea — Feeling: Good · HeadacheFree text: Very slight headache and nose is starting to runMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · DiarrheaFree text: That was earlier, am ok now.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-22
- 2021-11-29
- 2021-12-06
- 2022-01-24
- 2022-04-26
-
2022-05-25
Dose 4 — Pfizer-BioNTech
- 2022-06-25
- 2022-06-29
- 2022-07-06
- 2022-08-24
- 2022-11-23
- 2023-05-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-07 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-05-25 | Pfizer-BioNTech | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Symptoms started 10 hrs after shot, arm was very sore, swollen, severe chills and fever. Slight headache. Better today, still have low grade fever, chills and tired but symptoms are better. Swelling in arm has gone down, arm not as sore.
Release 5 — day 35, dose 2
Symptoms: My mouth was very dry and I was very thirsty for a few days right after the second vaccine. Now for the last week my mouth is again very dry and I am extremely thirsty.
Release 6 — day 42, dose 2
Symptoms: My mouth is still very dry. I reported it last week and its about the same.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Very slight headache and nose is starting to run
Systemic reaction (other): That was earlier, am ok now.
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 | Dry mouth | ✓ | ✓ | ✓ |
| SD | Thirst | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Peripheral swelling | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release