4Q4-13202-73270
4 vaccinations
4 coded responses
42 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 339 / FL
- Registered
- 2021-01-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-25
Registered in v-safe
-
2021-01-25
Dose 1 — Moderna
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-30
- 2021-01-31
- 2021-02-01
-
2021-02-08
Survey response — day 14, dose 1MedDRA: Nasopharyngitis — Feeling: GoodFree text: Had cold symptoms for 2 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: My temp is usually 97F so I have a slight fever, but enough that I feel indisposed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-15
- 2021-03-22
- 2021-03-31
- 2021-04-05
- 2021-05-24
-
2021-08-23
Survey response — 6 months, dose 2MedDRA: Cough, Nasopharyngitis, Oropharyngeal pain, Respiratory tract congestion, Viral infection — Feeling: GoodFree text: Had a cold for a week. Sore throat, congestion and cough. Believe I caught it from my 17 year old granddaughter who had been vaccinated months before, so I believe it was just a cold virus. No one else I was in contact with came down with it.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-21
Dose 3 — ModernaCo-administered: Flu
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Headache, Pain, Pyrexia — Feeling: GoodFree text: Within 24 hrs of the vaccine I had fever, body aches and headache. I had the shot 6 days ago so I'm fine now. Side effects lasted 48 hours.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-11-04
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2022-01-20
- 2022-04-21
-
2022-05-04
Dose 4 — Moderna
- 2022-05-19
- 2022-05-25
- 2022-06-01
- 2022-06-08
- 2022-06-15
- 2022-08-03
- 2022-11-02
- 2023-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-25 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-21 | Moderna | Flu |
| 4 | 2022-05-04 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Had cold symptoms for 2 days.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): My temp is usually 97F so I have a slight fever, but enough that I feel indisposed.
Release 9 — 6 months, dose 2
Symptoms: Had a cold for a week. Sore throat, congestion and cough. Believe I caught it from my 17 year old granddaughter who had been vaccinated months before, so I believe it was just a cold virus. No one else I was in contact with came down with it.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Within 24 hrs of the vaccine I had fever, body aches and headache. I had the shot 6 days ago so I'm fine now. Side effects lasted 48 hours.
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 | Nasopharyngitis | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | · | ✓ |
| SD | Respiratory tract congestion | ✓ | · | ✓ |
| SD | Viral infection | ✓ | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release