4FP-58235-33254
3 vaccinations
4 coded responses
31 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 221 / VA
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
-
2021-03-03
Health check-in — day 0, dose 1Feeling: Good · Site: Swelling · Muscle or body achesAdult check-in
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
-
2021-03-17
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site warmth — Feeling: GoodFree text: The area was red and warm to touch. It has been so long since I took the shot it could be something else. It was only for a few daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-24
Survey response — day 21, dose 1MedDRA: Pain in extremity — Feeling: FairFree text: My left arm ache. I dont know if this is from the shot or not. I am soon due to have my second shot. I dont know if I want to have the second shot in the same arm or the other side. I dont want to have problems with the other arm also.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
- 2021-04-07
-
2021-04-08
Dose 2 — Moderna
-
2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Headache, Injection site pain — Feeling: GoodFree text: The night of the vaccine I got the chills, H/A, aches and pain at site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-10
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2021-10-09
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Cough, Decreased appetite, Diarrhoea, Feeding disorder, Oropharyngeal pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I have had copious drainage from nose, unable to eat because of lack of appetite, a short period of diarrhea, lost of taste and smell, sore throat and cough. I was in the house for just about two weeks. I am on the upside now. Smell coming back slow.MedDRA releases: 2024-11 · check-in free text available
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2021-10-27
Dose 3 — Moderna
-
2021-10-29
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-26
- 2022-01-28
- 2022-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
Free text
Release 5 — day 14, dose 1
Symptoms: The area was red and warm to touch. It has been so long since I took the shot it could be something else. It was only for a few days
Release 6 — day 21, dose 1
Symptoms: My left arm ache. I dont know if this is from the shot or not. I am soon due to have my second shot. I dont know if I want to have the second shot in the same arm or the other side. I dont want to have problems with the other arm also.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The night of the vaccine I got the chills, H/A, aches and pain at site.
Release 10 — 6 months, dose 2
Symptoms: I have had copious drainage from nose, unable to eat because of lack of appetite, a short period of diarrhea, lost of taste and smell, sore throat and cough. I was in the house for just about two weeks. I am on the upside now. Smell coming back slow. cut off by CDC
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Diarrhoea | · | · | ✓ |
| SD | Feeding disorder | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release