3UA-71149-26244
4 vaccinations
3 coded responses
35 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 967 / HI
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-11
Registered in v-safe
-
2021-03-11
Dose 1 — Moderna
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Tremor — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Nausea · Be unable to do your normal daily activitiesFree text: Felt like a sugar low. A little shaky and light headed even though am almost done with my second quart of liquidMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
-
2021-04-08
Dose 2 — Moderna
- 2021-07-08
- 2021-10-07
-
2021-10-27
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Redness, Swelling, Itching · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
-
2021-11-11
Survey response — day 14, dose 3MedDRA: Body temperature increased, Chills, Nausea — Feeling: Good · Be unable to do your normal daily activitiesFree text: Nausea, slight elevation in temperature, momentary chillMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-24
- 2021-12-01
-
2021-12-08
Survey response — day 42, dose 3MedDRA: Headache, Nausea, Pain, Pyrexia, Rash, Reaction to previous exposure to any vaccine — Feeling: Good · Be unable to do your normal daily activitiesFree text: Had a reaction to my second Shingrix vaccination with rash, low fever, nausea and headache. The rash resembled the same as the 2nd and 3rd doses of Covid vaccine. I did not have any other reaction to the Covid shots except for soreness and rash.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-26
-
2022-04-13
Dose 4 — Moderna
-
2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · NoneAdult check-in
-
2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2022-04-16
- 2022-04-17
- 2022-04-18
- 2022-04-19
- 2022-04-20
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-13
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-11 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Felt like a sugar low. A little shaky and light headed even though am almost done with my second quart of liquid
Release 10 — day 14, dose 3
Symptoms: Nausea, slight elevation in temperature, momentary chill
Release 10 — day 42, dose 3
Symptoms: Had a reaction to my second Shingrix vaccination with rash, low fever, nausea and headache. The rash resembled the same as the 2nd and 3rd doses of Covid vaccine. I did not have any other reaction to the Covid shots except for soreness and rash.
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 | Body temperature increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release