3NR-21348-90850
5 vaccinations
6 coded responses
48 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 863 / AZ
- Registered
- 2021-02-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-02
Registered in v-safe
-
2021-02-02
Dose 1 — Moderna
-
2021-02-02
Survey response — day 0, dose 1MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain · HeadacheFree text: Runny niseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
- 2021-02-04
- 2021-02-05
-
2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Oxygen saturation decreased — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Low pulse oxygen levels for several hours. Below 90. Treated with inhalers, shaking (vest system), and canned oxygen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-16
- 2021-02-23
- 2021-03-02
-
2021-03-04
Dose 2 — Moderna
-
2021-03-04
Survey response — day 0, dose 2MedDRA: Cough, Immediate post-injection reaction — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Cough 30 min after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-05
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-04-15
- 2021-06-03
- 2021-09-02
-
2021-10-26
Dose 3 — Moderna
-
2021-10-26
Survey response — day 0, dose 3MedDRA: Unevaluable event — Feeling: GoodFree text: I just got the vaccine 1 hour agoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2022-01-25
-
2022-03-04
Dose 4 — Pfizer-BioNTech
-
2022-04-15
Survey response — day 42, dose 4MedDRA: Asthenia, Chills, Dysstasia, Feeling abnormal, Gait disturbance, Loss of consciousness, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: The night of my vaccine I felt chilled. I got up to get some Tylenol and passed out twice. I was unable to stand or walk until the next morning. I had no energy and felt miserable for 24-36 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-03
- 2022-09-02
-
2022-09-12
Dose 5 — Moderna
-
2022-10-08
Survey response — day 21, dose 5MedDRA: Fatigue, Pyrexia, Rash — Feeling: Good · Be unable to do your normal daily activitiesFree text: Sone tiredness and fever for two days after booster. Also fever and large rash from Flu shotMedDRA releases: 2024-11 · check-in free text available
- 2022-10-10
- 2022-10-17
- 2022-10-24
- 2022-12-12
- 2023-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-02 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-03-04 | Pfizer-BioNTech | No |
| 5 | 2022-09-12 | Moderna | No |
Free text
Release 3 — day 0, dose 1
Systemic reaction (other): Runny nise
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Low pulse oxygen levels for several hours. Below 90. Treated with inhalers, shaking (vest system), and canned oxygen.
Release 5 — day 0, dose 2
Systemic reaction (other): Cough 30 min after injection
Release 10 — day 0, dose 3
Systemic reaction (other): I just got the vaccine 1 hour ago
Release 11 — day 42, dose 4
Symptoms: The night of my vaccine I felt chilled. I got up to get some Tylenol and passed out twice. I was unable to stand or walk until the next morning. I had no energy and felt miserable for 24-36 hours.
Release 12 — day 21, dose 5
Symptoms: Sone tiredness and fever for two days after booster. Also fever and large rash from Flu shot
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 | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Dysstasia | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Loss of consciousness | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Cough | ✓ | ✓ | ✓ |
| SRO | Immediate post-injection reaction | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release