3X2-15088-39425
4 vaccinations
5 coded responses
45 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 598 / MT
- Registered
- 2021-02-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-08
Registered in v-safe
-
2021-02-08
Dose 1 — Moderna
- 2021-02-08
-
2021-02-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
-
2021-02-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-11
- 2021-02-13
- 2021-02-14
- 2021-02-15
-
2021-02-22
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: GoodFree text: Day 8, the injection site skin was red, raised, swollen, and itchy. This lasted for about 3 days. Today, no longer swollen, raised, nor itchy. There is only very faint redness; nearly gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
-
2021-03-08
Dose 2 — Moderna
- 2021-03-08
-
2021-03-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
-
2021-06-07
Survey response — 3 months, dose 2MedDRA: Dizziness — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dizziness for 5 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-06
-
2021-11-10
Dose 3 — Moderna
-
2021-11-12
Survey response — days 1–6 daily, dose 3MedDRA: Feeling abnormal, Pain, Self-medication — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Got my booster day before yesterday. Yesterday, I was miserable. Same symptoms as post 2nd vaccine shot. This time, the pain was twice as bad. Tylenol didn't help. Ibuprofen at night helped me sleep. Today, I am 80% better. Still a little achyMedDRA releases: 2024-11 · check-in free text available
-
2021-11-13
Survey response — days 1–6 daily, dose 3MedDRA: Tenderness — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Tenderness in left armpitMedDRA releases: 2024-11 · check-in free text available
-
2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-16
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2021-12-15
- 2021-12-22
- 2022-02-09
-
2022-04-08
Dose 4 — Moderna
- 2022-04-15
- 2022-04-22
-
2022-04-29
Survey response — day 21, dose 4MedDRA: Chills, Fatigue, Pain, Rhinorrhoea — Feeling: FairFree text: Runny nose, body aches, chills, fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-08
- 2022-10-07
- 2023-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-08 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-11-10 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: Day 8, the injection site skin was red, raised, swollen, and itchy. This lasted for about 3 days. Today, no longer swollen, raised, nor itchy. There is only very faint redness; nearly gone.
Release 8 — 3 months, dose 2
Symptoms: Dizziness for 5 days
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Got my booster day before yesterday. Yesterday, I was miserable. Same symptoms as post 2nd vaccine shot. This time, the pain was twice as bad. Tylenol didn't help. Ibuprofen at night helped me sleep. Today, I am 80% better. Still a little achy cut off by CDC
Systemic reaction (other): Tenderness in left armpit
Release 11 — day 21, dose 4
Symptoms: Runny nose, body aches, chills, fatigue.
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 | Chills | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Tenderness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release