5R7-11177-73748
5 vaccinations
3 coded responses
52 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 945 / CA
- Registered
- 2021-01-18
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-18
Registered in v-safe
-
2021-01-18
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-20
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
- 2021-01-25
- 2021-02-01
- 2021-02-08
- 2021-02-15
-
2021-02-22
Dose 2 — Moderna
- 2021-02-22
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-08
- 2021-03-16
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-05-24
- 2021-08-23
-
2021-10-27
Dose 3 — Moderna
-
2022-02-23
Survey response — 12 months, dose 2MedDRA: Arthralgia, Headache, Pyrexia, SARS-CoV-2 test negative, Vomiting — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, headache, vomiting, achy joints x 1 day last week Took 2 at home Covid tests 3 days apart- both NEGMedDRA releases: 2024-11 · check-in free text available
-
2022-04-25
Dose 4 — Moderna
- 2022-04-25
-
2022-04-27
Survey response — days 1–6 daily, dose 4MedDRA: Headache, Neck pain, Pain in extremity — Feeling: GoodFree text: Did have headache and sore neck and arm yesterday but didn't report in time.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-04-29
- 2022-04-30
- 2022-05-02
- 2022-05-09
- 2022-05-16
- 2022-05-23
- 2022-05-30
- 2022-06-06
-
2022-07-25
Survey response — 3 months, dose 4MedDRA: Chills, Laboratory test abnormal, Oropharyngeal pain, Painful respiration, Patient isolation, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: July 4 had fever chills sore throat and discomfort taking deep breaths for 14 hrs.neg at home test initially then positive after 36 hrs. Resolved quickly and other than isolating, able to do everything as before ( exercise etc)MedDRA releases: 2024-11 · check-in free text available
-
2022-09-29
Dose 5 — Pfizer-BioNTechCo-administered: Flu
- 2022-09-29
- 2022-09-30
- 2022-10-01
- 2022-10-02
- 2022-10-04
- 2022-10-05
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-10-27
- 2022-11-03
- 2022-11-10
- 2022-12-29
- 2023-03-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-18 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-25 | Moderna | No |
| 5 | 2022-09-29 | Pfizer-BioNTech | Flu |
Free text
Release 11 — 12 months, dose 2
Symptoms: Fever, headache, vomiting, achy joints x 1 day last week Took 2 at home Covid tests 3 days apart- both NEG
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Did have headache and sore neck and arm yesterday but didn't report in time.
Release 12 — 3 months, dose 4
Symptoms: July 4 had fever chills sore throat and discomfort taking deep breaths for 14 hrs.neg at home test initially then positive after 36 hrs. Resolved quickly and other than isolating, able to do everything as before ( exercise etc)
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 | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Laboratory test abnormal | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Painful respiration | · | · | ✓ |
| SD | Patient isolation | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release