4NC-41734-32020
5 vaccinations
5 coded responses
35 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 105 / NY
- Registered
- 2021-03-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-03
Registered in v-safe
-
2021-03-03
Dose 1 — Moderna
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Good · HeadacheFree text: headache likely not vaccine relatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
-
2021-04-01
Dose 2 — Moderna
-
2021-04-14
Survey response — day 7, dose 2MedDRA: Injection site pain, Injection site swelling, Injection site warmth, Pain, Pain in extremity — Feeling: GoodFree text: The day after getting the 2nd shot I felt very achy, and injection site was super sore, swollen and warm. 2 days after the shot I felt totally fine, but arm continued to be sore for about a week. No other symptoms since then.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
- 2021-07-01
- 2021-09-30
-
2021-10-11
Dose 3 — Moderna
- 2021-10-29
- 2021-11-01
- 2021-11-08
- 2021-11-15
- 2021-11-24
-
2022-01-10
Survey response — 3 months, dose 3MedDRA: Rhinorrhoea — Feeling: GoodFree text: Endlessly runny nose.MedDRA releases: 2024-11 · check-in free text available
-
2022-04-06
Dose 4 — Moderna
- 2022-04-11
- 2022-05-18
- 2022-07-06
-
2022-09-28
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-10-05
-
2022-10-15
Survey response — day 14, dose 5MedDRA: COVID-19, Cough, Fatigue, Nasal congestion, Pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I have Covid. Extreme fatigue, coughing, nasal congestion, body aches.MedDRA releases: 2024-11 · check-in free text available
-
2022-10-19
Survey response — day 21, dose 5MedDRA: Dizziness, Fatigue, Oropharyngeal pain — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Constant fatigue, light-headedness, mild sore throat.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-12-28
- 2023-03-29
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-10-11 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-28 | Pfizer-BioNTech | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): headache likely not vaccine related
Release 7 — day 7, dose 2
Systemic reaction (other): The day after getting the 2nd shot I felt very achy, and injection site was super sore, swollen and warm. 2 days after the shot I felt totally fine, but arm continued to be sore for about a week. No other symptoms since then.
Release 10 — 3 months, dose 3
Symptoms: Endlessly runny nose.
Release 12 — day 14, dose 5
Symptoms: I have Covid. Extreme fatigue, coughing, nasal congestion, body aches.
Release 12 — day 21, dose 5
Symptoms: Constant fatigue, light-headedness, mild sore throat.
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | ✓ | ✓ | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release