55R-39912-46495
4 vaccinations
3 coded responses
37 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 189 / PA
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-29
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
-
2021-02-07
Survey response — day 7, dose 1MedDRA: Pruritus, Rash — Feeling: Fair · Site: Redness, Itching · FeverFree text: Just that these symptoms (rash and itching) just began 8 days following the injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Headache, Pain, Pyrexia — Feeling: Good · Site: Redness, Itching · Be unable to do your normal daily activitiesFree text: I did experience headache, body aches, fatigue, and fever of 100.8 beginning 16 hours post-injection and lasting for approximately 24 hours. By wake-up time on 3/7, I felt restored to myself.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
-
2021-08-24
Dose 3 — Moderna
- 2021-09-03
- 2021-09-03
- 2021-09-07
- 2021-09-14
- 2021-09-21
- 2021-09-28
- 2021-10-05
- 2021-11-23
- 2022-02-22
-
2022-05-12
Dose 4 — Moderna
-
2022-05-15
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Pain, Pain in extremity, Pyrexia, Vaccine positive rechallenge — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had the vaccine on 5/12. On the 13th I experienced the sore arm, body aches, headache and fever that have been my reaction to all of the covid vaccines. These lasted for ab out 24 hours.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-17
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-06-23
- 2022-08-13
- 2022-11-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-29 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-08-24 | Moderna | No |
| 4 | 2022-05-12 | Moderna | No |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Just that these symptoms (rash and itching) just began 8 days following the injection
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): I did experience headache, body aches, fatigue, and fever of 100.8 beginning 16 hours post-injection and lasting for approximately 24 hours. By wake-up time on 3/7, I felt restored to myself.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I had the vaccine on 5/12. On the 13th I experienced the sore arm, body aches, headache and fever that have been my reaction to all of the covid vaccines. These lasted for ab out 24 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 |
|---|---|---|---|---|
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release