528-67412-31928
3 vaccinations
2 coded responses
26 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 377 / TN
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-09
Dose 1 — Moderna
-
2021-03-25
Registered in v-safe
-
2021-03-25
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus, Pain in extremity — Feeling: GoodFree text: Since I got the first dose I didnt have any symptoms. After 9 days I started to have sore in my arm, turning red and itching the area where it was applied.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
-
2021-04-08
Dose 2 — Moderna
- 2021-04-08
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
- 2021-10-07
-
2021-10-22
Dose 3 — Moderna
-
2021-10-29
Health check-in — day 7, dose 3Feeling: Good · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
-
2022-01-21
Survey response — 3 months, dose 3MedDRA: Conjunctivitis, Dizziness, Eye pain, Fatigue, Headache, Oropharyngeal pain, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Pink eye, sore eyes, sore throat, fever 100.4, congestion, headaches, fatigue, dizziness, body aches. I had these symptoms for 9 days. I did the PCR test the day 3 after the first symptom and came back Covid Negative. They suggested do another test.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-25
- 2022-10-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-09 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: Since I got the first dose I didnt have any symptoms. After 9 days I started to have sore in my arm, turning red and itching the area where it was applied.
Release 11 — 3 months, dose 3
Symptoms: Pink eye, sore eyes, sore throat, fever 100.4, congestion, headaches, fatigue, dizziness, body aches. I had these symptoms for 9 days. I did the PCR test the day 3 after the first symptom and came back Covid Negative. They suggested do another test. cut off by CDC
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 | Conjunctivitis | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Eye pain | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release