4J7-17122-55413
5 vaccinations
3 coded responses
48 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 782 / TX
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- Other
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
- 2021-02-23
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-10-24
Dose 3 — ModernaCo-administered: Flu
- 2021-10-26
- 2021-10-27
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Cold sweat, Diarrhoea, Headache — Feeling: GoodFree text: The other day i did have a sligh5 headache, clamy and a little diarrhea. Today much better. I meant to put that in the last check up.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: In right thigh, 8 noticed Tuesday forgot to say.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-31
- 2021-11-07
- 2021-11-14
-
2021-11-21
Survey response — day 28, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: I believe I got a cold from grandkids. I'm on Aritimicin getting much better. I was never real sick, i knew my body it wasn't allergies which is usually the case. I never had fever, I believe I kept it at bay. Im better.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-28
- 2021-12-05
- 2022-01-23
- 2022-04-24
-
2022-08-08
Dose 4 — Moderna
- 2022-08-08
- 2022-08-09
- 2022-08-10
- 2022-08-12
- 2022-08-13
- 2022-08-14
- 2022-08-15
- 2022-08-22
- 2022-08-29
- 2022-09-05
- 2022-09-12
- 2022-09-21
- 2022-11-07
-
2022-12-03
Dose 5 — ModernaCo-administered: Flu
- 2023-02-06
- 2023-06-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-24 | Moderna | Flu |
| 4 | 2022-08-08 | Moderna | No |
| 5 | 2022-12-03 | Moderna | Flu |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The other day i did have a sligh5 headache, clamy and a little diarrhea. Today much better. I meant to put that in the last check up.
Systemic reaction (other): In right thigh, 8 noticed Tuesday forgot to say.
Release 10 — day 28, dose 3
Symptoms: I believe I got a cold from grandkids. I'm on Aritimicin getting much better. I was never real sick, i knew my body it wasn't allergies which is usually the case. I never had fever, I believe I kept it at bay. Im better.
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 | Nasopharyngitis | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Cold sweat | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release