4KK-75767-25806
5 vaccinations
4 coded responses
38 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 751 / TX
- Registered
- 2021-01-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-12
Registered in v-safe
-
2021-01-12
Dose 1 — Moderna
- 2021-01-14
- 2021-01-16
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-08
Dose 2 — Moderna
- 2021-02-23
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-23
- 2021-05-11
- 2021-08-09
-
2021-11-06
Dose 3 — Moderna
- 2022-02-08
-
2022-05-06
Dose 4 — Moderna
- 2022-05-07
-
2022-05-08
Survey response — days 1–6 daily, dose 4MedDRA: Arthralgia, Bone pain — Feeling: GoodFree text: An arthritis bone the same size of my wrist bone right next to wrist bone is painful and can no longer wear my watchMedDRA releases: 2024-11 · check-in free text available
- 2022-05-09
- 2022-05-10
- 2022-05-11
- 2022-05-12
- 2022-05-13
-
2022-05-20
Survey response — day 14, dose 4MedDRA: Lymphadenopathy, Odynophagia, Oropharyngeal pain — Feeling: GoodFree text: 13 days after Booster the lymph node in neck just under my chin on same side where got booster was little enlarged and hurt when I swallowed. Next morning it was better but next day where your Adams Apple is located felt little sore and still mildly.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-27
- 2022-06-03
- 2022-06-10
- 2022-06-17
-
2022-08-05
Survey response — 3 months, dose 4MedDRA: Facial pain, Pain, Pre-existing disease — Feeling: GoodFree text: Crazy sharp pain that goes away quickly at unexpected places on my body including my face However some of this may be because of my age 87 and other reasons like maybe because of previous falls due to my age.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-13
Dose 5 — Moderna
-
2022-10-13
Survey response — day 0, dose 5MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-10-14
- 2022-10-16
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-11-17
- 2023-01-12
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-12 | Moderna | |
| 2 | 2021-02-08 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-05-06 | Moderna | No |
| 5 | 2022-10-13 | Moderna | No |
Free text
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): An arthritis bone the same size of my wrist bone right next to wrist bone is painful and can no longer wear my watch
Release 11 — day 14, dose 4
Symptoms: 13 days after Booster the lymph node in neck just under my chin on same side where got booster was little enlarged and hurt when I swallowed. Next morning it was better but next day where your Adams Apple is located felt little sore and still mildly. cut off by CDC
Release 12 — 3 months, dose 4
Symptoms: Crazy sharp pain that goes away quickly at unexpected places on my body including my face However some of this may be because of my age 87 and other reasons like maybe because of previous falls due to my age.
Release 12 — day 0, dose 5
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 | Facial pain | · | · | ✓ |
| SD | Lymphadenopathy | · | · | ✓ |
| SD | Odynophagia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Bone pain | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release