3NT-26818-71093
5 vaccinations
7 coded responses
46 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 235 / VA
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-21
Dose 1 — Moderna
-
2021-01-23
Registered in v-safe
-
2021-01-23
Survey response — days 1–6 daily, dose 1MedDRA: Neck pain — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: Neck painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-26
- 2021-01-28
-
2021-02-05
Survey response — day 14, dose 1MedDRA: Injection site pruritus — Feeling: GoodFree text: Tremendous itching on that arm around the injection site. It began one week after the injection. And it lessened each day after, but it truly was a bother.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-11
-
2021-02-18
Dose 2 — Moderna
- 2021-02-18
-
2021-02-19
Survey response — days 1–6 daily, dose 2MedDRA: Balance disorder, Decreased appetite, Disorientation — Feeling: Poor · Site: Pain, Redness, Swelling · Fever · Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: I had no appetite. I was very unsteady on my feet, I had to hold into that wall. I was also very disoriented till the evening. I poured my vitamins into my beverage. I tried to feed my cat litter.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-02-25
-
2021-03-04
Survey response — day 14, dose 2MedDRA: Arthralgia — Feeling: GoodFree text: Random pain that shoulder. It lasted for a few days then went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-11
Survey response — day 21, dose 2MedDRA: Unevaluable event — Feeling: Good · Be unable to workFree text: Unrelated to the vaccine, but I had surgery. I was tested at the hospital the Friday before my surgery date of Monday even having been vaccinated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-25
Survey response — day 35, dose 2MedDRA: Gastrointestinal tract irritation, Gastrooesophageal reflux disease — Feeling: GoodFree text: Acid reflux and intestinal distress. The only way I felt well was to lay in my back. It passed in 24 hrs. I never have reflux disorder and my diet had not changed. It may not be related, but thought Id mention it.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-05-21
- 2021-08-19
-
2021-11-15
Dose 3 — Moderna
- 2022-02-18
- 2022-05-17
-
2022-06-09
Dose 4 — Moderna
-
2022-06-12
Survey response — days 1–6 daily, dose 4MedDRA: Body temperature increased — Feeling: Good · Site: Pain · HeadacheFree text: I did have a low-grade fever of 100.3 the morning after receiving the injection.MedDRA releases: 2024-11 · check-in free text available
- 2022-06-13
- 2022-06-14
- 2022-06-16
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-07-14
- 2022-07-21
- 2022-09-10
- 2022-12-08
-
2022-12-23
Dose 5 — Pfizer-BioNTech
-
2022-12-25
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessAdult check-in
- 2022-12-26
- 2022-12-27
- 2022-12-28
- 2022-12-29
- 2022-12-30
- 2023-01-06
- 2023-01-13
- 2023-01-20
- 2023-01-27
- 2023-02-03
- 2023-03-24
- 2023-06-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-21 | Moderna | |
| 2 | 2021-02-18 | Moderna | |
| 3 | 2021-11-15 | Moderna | No |
| 4 | 2022-06-09 | Moderna | No |
| 5 | 2022-12-23 | Pfizer-BioNTech | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Neck pain
Release 3 — day 14, dose 1
Symptoms: Tremendous itching on that arm around the injection site. It began one week after the injection. And it lessened each day after, but it truly was a bother.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had no appetite. I was very unsteady on my feet, I had to hold into that wall. I was also very disoriented till the evening. I poured my vitamins into my beverage. I tried to feed my cat litter.
Release 5 — day 14, dose 2
Symptoms: Random pain that shoulder. It lasted for a few days then went away.
Release 5 — day 21, dose 2
Symptoms: Unrelated to the vaccine, but I had surgery. I was tested at the hospital the Friday before my surgery date of Monday even having been vaccinated.
Release 6 — day 35, dose 2
Symptoms: Acid reflux and intestinal distress. The only way I felt well was to lay in my back. It passed in 24 hrs. I never have reflux disorder and my diet had not changed. It may not be related, but thought Id mention it.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I did have a low-grade fever of 100.3 the morning after receiving the injection.
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 | Gastrointestinal tract irritation | ✓ | ✓ | ✓ |
| SD | Gastrooesophageal reflux disease | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Balance disorder | ✓ | ✓ | ✓ |
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Disorientation | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release