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4T7-70633-08760

5 vaccinations 9 coded responses 47 check-ins 9 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
934 / CA
Registered
2021-03-08
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-08
    Registered in v-safe
  3. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Itching · None
    Adult check-in
  4. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Poor · Headache, Nausea, Vomiting · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache
    Adult check-in
  6. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-03-31
    Dose 2 — Moderna
  9. 2021-04-17
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-12
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-06-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-09-29
    Survey response — 6 months, dose 2
    MedDRA: Medical counselling, Vertigo — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I have been having spells of Vertigo, starting about 2 months ago. So far Ive only had 2 episodes. I did talk to my doctor.
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-29
    Dose 3 — Moderna
  17. 2021-10-31
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  19. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  22. 2021-11-05
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  23. 2021-11-12
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-26
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  27. 2021-12-10
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  28. 2022-01-28
    Survey response — 3 months, dose 3
    MedDRA: Lymph node pain, Self-medication — Feeling: Fair
    Free text: My gland underneath my right ear has been hurting for like 3 days. I've been taking ibuprofen.
    MedDRA releases: 2024-11 · check-in free text available
  29. 2022-04-22
    Dose 4 — Moderna
  30. 2022-04-22
    Survey response — day 0, dose 4
    MedDRA: Asthenia — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Weak
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-04-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-04-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  34. 2022-04-26
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  35. 2022-04-27
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-04-28
    Survey response — days 1–6 daily, dose 4
    MedDRA: Injection site pain — Feeling: Fair · Site: Itching
    Free text: Ache around the shot area.
    MedDRA releases: 2024-11 · check-in free text available
  37. 2022-04-29
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-05-06
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-13
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-20
    Survey response — day 28, dose 4
    MedDRA: Pain in extremity — Feeling: Fair
    Free text: I started getting sharp pains in my feet, every once in awhile.
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-05-27
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-06-03
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-07-22
    Survey response — 3 months, dose 4
    MedDRA: Dizziness, Headache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I sometimes wake up with headaches, a little dizziness.
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-10-21
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2022-10-25
    Dose 5 — Moderna
  46. 2022-11-03
    Survey response — day 7, dose 5
    MedDRA: No adverse event — Feeling: Good
    Free text:
    MedDRA releases: 2024-11 · check-in free text available
  47. 2022-11-08
    Survey response — day 14, dose 5
    MedDRA: Cough, Headache, Nasal congestion, Nasopharyngitis, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Sore throat, headache, stuffy nose and cough. Tested for Covid but it was negative. It is just a bad cold.
    MedDRA releases: 2024-11 · check-in free text available
  48. 2022-11-15
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  49. 2022-11-22
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  50. 2022-12-01
    Health check-in — day 35, dose 5
    Feeling: Good
    Adult check-in
  51. 2022-12-06
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  52. 2023-01-24
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  53. 2023-04-25
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna
32021-10-29Moderna No
42022-04-22Moderna No
52022-10-25Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-09

Systemic reaction (other): Dizziness

Release 9 — 6 months, dose 2

2021-09-29

Symptoms: I have been having spells of Vertigo, starting about 2 months ago. So far Ive only had 2 episodes. I did talk to my doctor.

Release 11 — 3 months, dose 3

2022-01-28

Symptoms: My gland underneath my right ear has been hurting for like 3 days. I've been taking ibuprofen.

Release 11 — day 0, dose 4

2022-04-22

Systemic reaction (other): Weak

Release 11 — days 1–6 daily, dose 4

2022-04-28

Systemic reaction (other): Ache around the shot area.

Release 11 — day 28, dose 4

2022-05-20

Symptoms: I started getting sharp pains in my feet, every once in awhile.

Release 12 — 3 months, dose 4

2022-07-22

Symptoms: I sometimes wake up with headaches, a little dizziness.

Release 12 — day 7, dose 5

2022-11-03

Release 12 — day 14, dose 5

2022-11-08

Symptoms: Sore throat, headache, stuffy nose and cough. Tested for Covid but it was negative. It is just a bad cold.

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

FieldPreferred term2021-092023-042024-11
SDCough · · ✓
SDDizziness · · ✓
SDHeadache · · ✓
SDLymph node pain · · ✓
SDMedical counselling · · ✓
SDNasal congestion · · ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDPain in extremity · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSelf-medication · · ✓
SDVertigo · · ✓
SROAsthenia · · ✓
SRODizziness ✓ ✓ ✓
SROInjection site pain · · ✓
SRONo adverse event · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release