595-12658-05183
2 vaccinations
3 coded responses
8 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 442 / OH
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
-
2021-03-02
Dose 1 — Moderna
- 2021-03-04
-
2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes — Feeling: GoodFree text: cold sore on my tongueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: no. I believe I am going to be okay now from this first shot. I would like to report acter my 2nd shot from here on out so there is no need for this daily assessment now. Thank you.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-30
Dose 2 — Moderna
-
2021-04-15
Survey response — day 14, dose 2MedDRA: Chills, Fatigue, Headache, Injection site pain, Lethargy, Oropharyngeal pain, Pain, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Within 18 hours, runny nose, sore throat, injection soreness, achiness,chills, headache, most through 24 hours, some until 36 hours. Lethargy today may not be covid related since 15 days past due. don't know how to tell.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-27
- 2021-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): cold sore on my tongue
Systemic reaction (other): no. I believe I am going to be okay now from this first shot. I would like to report acter my 2nd shot from here on out so there is no need for this daily assessment now. Thank you.
Release 7 — day 14, dose 2
Symptoms: Within 18 hours, runny nose, sore throat, injection soreness, achiness,chills, headache, most through 24 hours, some until 36 hours. Lethargy today may not be covid related since 15 days past due. don't know how to tell.
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 | Chills | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release