52H-17924-84793
3 vaccinations
3 coded responses
38 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 148 / NY
- Registered
- 2021-01-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Registered in v-safe
-
2021-01-28
Dose 1 — Moderna
- 2021-01-28
- 2021-01-29
-
2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Poor · Site: Pain · Be unable to do your normal daily activitiesFree text: Area on the arm were shot was given- VERY sore- painfulMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Pain — Feeling: Good · Site: PainFree text: The pain from the shot was severe, very severe. I received my shot around 4 on Thursday, January 28, 2021. The pain started around 5:00pm on Friday, January 29, 2021. The pain has subsided somewhat this afternoon, Sunday, January 31, 2021. Because the pain was so bad, Im nervous about getting the second shot. Does it make a difference where the shot is given- top of arm, middle of arm?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
-
2021-02-02
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · None · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-04
- 2021-02-11
- 2021-02-18
-
2021-02-25
Dose 2 — Moderna
- 2021-02-25
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to workAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-11
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-11-24
Dose 3 — Moderna
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-30
- 2021-12-01
- 2021-12-08
- 2021-12-17
- 2021-12-22
- 2021-12-29
- 2022-01-05
- 2022-02-23
-
2022-06-01
Survey response — 6 months, dose 3MedDRA: Cough, Fatigue, Laboratory test abnormal — Feeling: FairFree text: Bad cough, really tired Tested positive todayMedDRA releases: 2024-11 · check-in free text available
- 2022-11-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Area on the arm were shot was given- VERY sore- painful
Systemic reaction (other): The pain from the shot was severe, very severe. I received my shot around 4 on Thursday, January 28, 2021. The pain started around 5:00pm on Friday, January 29, 2021. The pain has subsided somewhat this afternoon, Sunday, January 31, 2021. Because the pain was so bad, Im nervous about getting the second shot. Does it make a difference where the shot is given- top of arm, middle of arm?
Release 11 — 6 months, dose 3
Symptoms: Bad cough, really tired Tested positive today
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 | Fatigue | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release