3NP-17240-55339
5 vaccinations
3 coded responses
48 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-02
Registered in v-safe
-
2021-01-02
Dose 1 — Moderna
- 2021-01-02
- 2021-01-03
- 2021-01-04
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-18
- 2021-01-23
-
2021-01-30
Dose 2 — Moderna
- 2021-02-01
- 2021-02-02
-
2021-02-03
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Good · HeadacheFree text: I did not get the questionnaire timely however the day of the vaccine and into the day after my arm was very sore. That subsided after that.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-13
- 2021-02-20
- 2021-02-27
- 2021-03-07
- 2021-03-13
- 2021-05-01
- 2021-07-31
-
2021-10-24
Dose 3 — Moderna
- 2021-10-24
- 2021-10-25
- 2021-10-26
- 2021-10-28
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
-
2022-04-06
Dose 4 — Moderna
-
2022-04-15
Survey response — day 7, dose 4MedDRA: Injection site erythema, Injection site pain, Injection site swelling, Lymphadenopathy — Feeling: Good · Fatigue or tirednessFree text: The day after I received the fourth booster I had soreness redness and swelling near the injection site. Also lymph nodes swelling on that same side where the injection was given.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
-
2022-09-07
Dose 5 — ModernaCo-administered: Flu
-
2022-09-28
Survey response — day 21, dose 5MedDRA: Headache, Ophthalmic migraine, Visual impairment — Feeling: GoodFree text: I had my vaccine on 9/7. On the day after I had a visual migraine (first ever) and slight headache. The visual disturbances lasted a few hours. The headache lasted about a day. Otherwise, no other symptoms since. Also received the flu shot same day.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-12-07
- 2023-03-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-02 | Moderna | |
| 2 | 2021-01-30 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-07 | Moderna | Flu |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): I did not get the questionnaire timely however the day of the vaccine and into the day after my arm was very sore. That subsided after that.
Release 11 — day 7, dose 4
Systemic reaction (other): The day after I received the fourth booster I had soreness redness and swelling near the injection site. Also lymph nodes swelling on that same side where the injection was given.
Release 12 — day 21, dose 5
Symptoms: I had my vaccine on 9/7. On the day after I had a visual migraine (first ever) and slight headache. The visual disturbances lasted a few hours. The headache lasted about a day. Otherwise, no other symptoms since. Also received the flu shot same day. cut off by CDC
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 | Headache | · | · | ✓ |
| SD | Ophthalmic migraine | · | · | ✓ |
| SD | Visual impairment | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release