5BC-27813-09807
3 vaccinations
8 coded responses
27 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 193 / PA
- Registered
- 2021-02-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-17
Registered in v-safe
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2021-02-17
Dose 1 — Moderna
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2021-02-17
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: GoodFree text: Slight ache at injection sightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-18
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Sore upper arm muscle at injection sight. Taking Ibuprophen.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-19
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
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2021-02-20
Survey response — days 1–6 daily, dose 1MedDRA: Myalgia, Paraesthesia — Feeling: Good · Site: Pain · Muscle or body achesFree text: Muscle pain in arm mostly good. Sensitivity to tpuch greatly reduced today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-21
- 2021-02-22
- 2021-02-23
- 2021-02-24
- 2021-03-03
- 2021-03-10
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2021-03-17
Dose 2 — Moderna
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2021-03-17
Survey response — day 0, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: No slightly sore arm at injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Sore upper arm that had injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pyrexia — Feeling: Good · Site: PainFree text: Chills lasted all dau yesterday. After I reported in yesterday I developed a low grade. Fever was gone by 9pm feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Breast pain, Breast tenderness, Lymphadenopathy — Feeling: Good · Site: Pain · Muscle or body achesFree text: Noticed a sore breast same side as injetion site . If pressed to chest wall there is some tenderness. Possible node swelling????MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-17
- 2021-09-15
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2021-11-09
Dose 3 — Moderna
- 2022-03-17
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2022-11-09
Survey response — 12 months, dose 3MedDRA: COVID-19, Influenza — Feeling: Good · Be unable to do your normal daily activitiesFree text: Oct 9, 2022 Flu symptoms Covid positiveMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-11-09 | Moderna | No |
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): Slight ache at injection sight
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Sore upper arm muscle at injection sight. Taking Ibuprophen.
Systemic reaction (other): Muscle pain in arm mostly good. Sensitivity to tpuch greatly reduced today.
Release 5 — day 0, dose 2
Systemic reaction (other): No slightly sore arm at injection site
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Sore upper arm that had injection
Systemic reaction (other): Chills lasted all dau yesterday. After I reported in yesterday I developed a low grade. Fever was gone by 9pm fever
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Noticed a sore breast same side as injetion site . If pressed to chest wall there is some tenderness. Possible node swelling????
Release 12 — 12 months, dose 3
Symptoms: Oct 9, 2022 Flu symptoms Covid positive
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 | COVID-19 | · | · | ✓ |
| SD | Influenza | · | · | ✓ |
| SRO | Breast pain | ✓ | ✓ | ✓ |
| SRO | Breast tenderness | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Lymphadenopathy | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release