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3PZ-18674-21515

4 vaccinations 8 coded responses 35 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
342 / FL
Registered
2021-03-29
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-25
    Dose 1 — Moderna
  2. 2021-03-29
    Registered in v-safe
  3. 2021-03-29
    Dose 2 — Moderna
  4. 2021-03-29
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling, Itching · Headache, Muscle or body aches
    Adult check-in
  6. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Muscle or body aches, Nausea
    Adult check-in
  7. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea — Feeling: Good · Nausea
    Free text: Occasional nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: Nausea — Feeling: Good · Nausea
    Free text: Occasional nausea
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-10
    Survey response — day 42, dose 2
    MedDRA: Feeling abnormal, Nausea, Pain in extremity, Rhinorrhoea, Skin warm — Feeling: Fair
    Free text: On May 7th I vacuumed and cleaned my carpets. The muscle on my arm right where I got both my shots started to hurt really bad and it felt hot. I also felt nauseous and my nose started to run. I felt bad for the rest of the night. The next day I felt.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-27
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-27
    Dose 3 — Moderna
  20. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Muscle or body aches
    Adult check-in
  21. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · Diarrhea
    Adult check-in
  22. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Diarrhea
    Adult check-in
  23. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Itching · Fever · None
    Adult check-in
  24. 2021-11-03
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Itching · None
    Adult check-in
  25. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-17
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-24
    Survey response — day 28, dose 3
    MedDRA: Dyspnoea — Feeling: Good
    Free text: I've noticed that I feel the need to take some deep breaths. Like I need more oxygen. I'm fine after I do.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2021-12-01
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-08
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-26
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-04-07
    Dose 4 — Moderna
  32. 2022-04-19
    Survey response — day 7, dose 4
    MedDRA: Dyspnoea — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: Sometimes I feel that I need a few more breaths.
    MedDRA releases: 2024-11 · check-in free text available
  33. 2022-04-21
    Survey response — day 14, dose 4
    MedDRA: Body temperature increased, Headache, Influenza like illness, Pain — Feeling: Fair
    Free text: I feel kinda like I have the flu. I get body aches and headaches. No chest congestion. Although I've had a minor fever 99 degrees.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-04-28
    Survey response — day 21, dose 4
    MedDRA: Headache, Night sweats — Feeling: Fair
    Free text: Night sweats and headache.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2022-05-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-05-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-05-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-07-07
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-10-06
    Survey response — 6 months, dose 4
    MedDRA: Dyspnoea — Feeling: Fair
    Free text: I seem to need bigger breaths.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2023-04-07
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-25Moderna
22021-03-29Moderna
32021-10-27Moderna No
42022-04-07Moderna No

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-01

Systemic reaction (other): Occasional nausea

2021-04-04

Systemic reaction (other): Occasional nausea

Release 8 — day 42, dose 2

2021-05-10

Symptoms: On May 7th I vacuumed and cleaned my carpets. The muscle on my arm right where I got both my shots started to hurt really bad and it felt hot. I also felt nauseous and my nose started to run. I felt bad for the rest of the night. The next day I felt. cut off by CDC

Release 10 — day 28, dose 3

2021-11-24

Symptoms: I've noticed that I feel the need to take some deep breaths. Like I need more oxygen. I'm fine after I do.

Release 11 — day 7, dose 4

2022-04-19

Systemic reaction (other): Sometimes I feel that I need a few more breaths.

Release 11 — day 14, dose 4

2022-04-21

Symptoms: I feel kinda like I have the flu. I get body aches and headaches. No chest congestion. Although I've had a minor fever 99 degrees.

Release 11 — day 21, dose 4

2022-04-28

Symptoms: Night sweats and headache.

Release 12 — 6 months, dose 4

2022-10-06

Symptoms: I seem to need bigger breaths.

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

FieldPreferred term2021-092023-042024-11
SDBody temperature increased · · ✓
SDDyspnoea · · ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeadache · · ✓
SDInfluenza like illness · · ✓
SDNausea ✓ ✓ ✓
SDNight sweats · · ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓
SDSkin warm ✓ ✓ ✓
SRODyspnoea · · ✓
SRONausea ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release