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
-
2021-01-22
Dose 1 — Moderna
-
2021-02-04
Registered in v-safe
- 2021-02-04
- 2021-02-12
-
2021-02-25
Dose 2 — Moderna
-
2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
-
2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-02-28
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Injection site rash, Reaction to previous exposure to any vaccine — Feeling: Good · Site: Pain · Rash, not including the immediate area around the injection siteFree 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
- 2021-03-04
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2021-03-11
Survey response — day 14, dose 2MedDRA: Dyspnoea — Feeling: GoodFree 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
- 2021-03-18
- 2021-03-25
- 2021-04-01
- 2021-04-08
- 2021-05-27
- 2021-08-28
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2022-02-25
Survey response — 12 months, dose 2MedDRA: Asthma, Bronchitis, COVID-19, Headache, Pyrexia, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-22 | Moderna | |
| 2 | 2021-02-25 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 2
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
Symptoms: Some shortness of breath today, but probably due to pollen aggravating asthma.
Release 11 — 12 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Asthma | · | · | ✓ |
| SD | Bronchitis | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Dyspnoea | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Injection site rash | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release