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566-11010-40773

2 vaccinations 3 coded responses 15 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
305 / GA
Registered
2021-02-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-22
    Dose 1 — Moderna
  2. 2021-02-04
    Registered in v-safe
  3. 2021-02-04
    Health check-in — day 7, dose 1
    Feeling: Good · Site: Pain, Redness, Itching · None
    Adult check-in
  4. 2021-02-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  5. 2021-02-25
    Dose 2 — Moderna
  6. 2021-02-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea
    Adult check-in
  7. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-02-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  9. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Injection site rash, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection site
    Free text: No - the rash is just on my upper arm but several inches below injection site. (Did same thing after first vacc and went away after a couple weeks then)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-11
    Survey response — day 14, dose 2
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Some shortness of breath today, but probably due to pollen aggravating asthma.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-08-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-02-25
    Survey response — 12 months, dose 2
    MedDRA: Asthma, Bronchitis, COVID-19, Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good
    Free text: Covid (presumably Omicron) Dec 29. Mild symptoms - several days of headache & one day low fever. Runny nose but no cough or shortness of breath. (Had asthma issues & bronchitis Nov/Dec (neg for Covid) but delayed my 3rd booster. Then got Covid.)
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-22Moderna
22021-02-25Moderna

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): No - the rash is just on my upper arm but several inches below injection site. (Did same thing after first vacc and went away after a couple weeks then)

Release 5 — day 14, dose 2

2021-03-11

Symptoms: Some shortness of breath today, but probably due to pollen aggravating asthma.

Release 11 — 12 months, dose 2

2022-02-25

Symptoms: Covid (presumably Omicron) Dec 29. Mild symptoms - several days of headache & one day low fever. Runny nose but no cough or shortness of breath. (Had asthma issues & bronchitis Nov/Dec (neg for Covid) but delayed my 3rd booster. Then got Covid.)

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
SDAsthma · · ✓
SDBronchitis · · ✓
SDCOVID-19 · · ✓
SDDyspnoea ✓ ✓ ✓
SDHeadache · · ✓
SDPyrexia · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SROInjection site rash ✓ ✓ ✓
SROReaction to previous exposure to any vaccine ✓ ✓ ✓

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