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5RB-29489-34990

3 vaccinations 6 coded responses 18 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
344 / FL
Registered
2020-12-29
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-29
    Registered in v-safe
  2. 2020-12-29
    Dose 1 — Moderna
  3. 2020-12-29
    Health check-in — day 0, dose 1
    Feeling: Good · Headache
    Adult check-in
  4. 2020-12-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2020-12-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Pain in extremity — Feeling: Good · Site: Pain · Headache
    Free text: A little arm pain off snd on yesterday. None today. Very brief headache yesterday evening. None today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-01
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Fever
    Free text: I feel . Took no med. my usual temp is 96.7 to 97.7. After vaccine, 98.5 to Max 99.1 yesterday
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Insomnia — Feeling: Good · Headache
    Free text: I don't know the mild headache is because I did not get enough sleep today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-06
    Survey response — day 7, dose 1
    MedDRA: Headache, Pain in extremity — Feeling: Good · Headache
    Free text: I had persistent left arm pain and headache on Monday and Tuesday but none today (Wednesday)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-01-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-19
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-01-26
    Dose 2 — Moderna
  14. 2021-02-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-02-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-02
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-09
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-27
    Survey response — 6 months, dose 2
    MedDRA: Conjunctivitis, Viral upper respiratory tract infection — Feeling: Good · Be unable to work or attend school
    Free text: Viral upper respiratory infection and pink eyes. Dont think related to shot. I think o got it from my grandson
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  20. 2021-11-04
    Dose 3 — Pfizer-BioNTech
  21. 2022-01-26
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-05-07
    Survey response — 6 months, dose 3
    MedDRA: COVID-19, Cough, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: Good
    Free text: I had Covid on 2-25-22. Doing ok but this week coughing a lot and stuffy or runny nose. Covid negative trice
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-29Moderna
22021-01-26Moderna
32021-11-04Pfizer-BioNTech No

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-31

Systemic reaction (other): A little arm pain off snd on yesterday. None today. Very brief headache yesterday evening. None today

2021-01-02

Systemic reaction (other): I feel . Took no med. my usual temp is 96.7 to 97.7. After vaccine, 98.5 to Max 99.1 yesterday

2021-01-04

Systemic reaction (other): I don't know the mild headache is because I did not get enough sleep today.

Release 1 — day 7, dose 1

2021-01-06

Systemic reaction (other): I had persistent left arm pain and headache on Monday and Tuesday but none today (Wednesday)

Release 9 — 6 months, dose 2

2021-07-27

Symptoms: Viral upper respiratory infection and pink eyes. Dont think related to shot. I think o got it from my grandson

Release 11 — 6 months, dose 3

2022-05-07

Symptoms: I had Covid on 2-25-22. Doing ok but this week coughing a lot and stuffy or runny nose. Covid negative trice

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

FieldPreferred term2021-092023-042024-11
SDConjunctivitis ✓ · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDNasal congestion · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDViral upper respiratory tract infection ✓ · ✓
SROBody temperature increased ○ ○ ○
SROHeadache ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release