5P5-77147-07424
2 vaccinations
3 coded responses
16 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 803 / CO
- Registered
- 2021-02-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-09
Dose 1 — Moderna
-
2021-02-11
Registered in v-safe
-
2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Erythema, Immunisation reaction, Rash — Feeling: GoodFree text: Are use retinol. Right after the shot my face started to read and its still pretty red and dry. It may just be the retinol but it seems like a reaction to the vaccination.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-12
- 2021-02-13
- 2021-02-14
- 2021-02-16
- 2021-02-23
-
2021-03-02
Survey response — day 21, dose 1MedDRA: Abdominal pain lower, Back pain — Feeling: FairFree text: Sore lower back and stomach and the solar plexus region. I dont think this is from the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Dose 2 — Moderna
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-06-08
-
2021-09-07
Survey response — 6 months, dose 2MedDRA: Chills, Discomfort, Fatigue, Lethargy, Pain, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Do you like symptoms after my booster shot. Which I had three weeks ago. Fever of 102°, chills, body aches. That lasted one day. Feeling uncomfortable for about four days. Currently having intermittent lethargy and tiredness.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Are use retinol. Right after the shot my face started to read and its still pretty red and dry. It may just be the retinol but it seems like a reaction to the vaccination.
Release 4 — day 21, dose 1
Symptoms: Sore lower back and stomach and the solar plexus region. I dont think this is from the vaccine.
Release 9 — 6 months, dose 2
Symptoms: Do you like symptoms after my booster shot. Which I had three weeks ago. Fever of 102°, chills, body aches. That lasted one day. Feeling uncomfortable for about four days. Currently having intermittent lethargy and tiredness.
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 | Abdominal pain lower | ✓ | ✓ | ✓ |
| SD | Back pain | ✓ | ✓ | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Lethargy | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Immunisation reaction | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release