427-31904-03084
2 vaccinations
5 coded responses
9 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 981 / WA
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-27
Registered in v-safe
-
2021-03-27
Dose 1 — Moderna
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: GoodFree text: Just a tiny bit of soreness thats itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: The little soreness in my shot arm is a little less soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: GoodFree text: Soreness in that arm is goneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
- 2021-04-02
-
2021-04-24
Dose 2 — Moderna
- 2021-04-24
-
2021-07-24
Survey response — 3 months, dose 2MedDRA: Respiratory tract congestion, Sneezing — Feeling: Good · Be unable to work or attend schoolFree text: I think it was more so some sort of allergic reaction to a medication or hair product that occurred last week. Just to be sure I got a test which was negative. No fever, no loss of smell. Some sneezing and congestion. Its doneMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-25
Survey response — 6 months, dose 2MedDRA: Impaired work ability, SARS-CoV-2 test negative, Viral infection — Feeling: Good · Be unable to work or attend schoolFree text: It started with me babysitting a coworkers dog but after that the doc said I had a viral infection. I did take a covid test. Also in august I called out sick. I got a covid test., negativeMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-27 | Moderna | |
| 2 | 2021-04-24 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Just a tiny bit of soreness thats it
Systemic reaction (other): The little soreness in my shot arm is a little less sore
Systemic reaction (other): Soreness in that arm is gone
Release 9 — 3 months, dose 2
Symptoms: I think it was more so some sort of allergic reaction to a medication or hair product that occurred last week. Just to be sure I got a test which was negative. No fever, no loss of smell. Some sneezing and congestion. Its done
Release 10 — 6 months, dose 2
Symptoms: It started with me babysitting a coworkers dog but after that the doc said I had a viral infection. I did take a covid test. Also in august I called out sick. I got a covid test., negative
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 | Impaired work ability | · | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release