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
-
2020-12-29
Registered in v-safe
-
2020-12-29
Dose 1 — Moderna
- 2020-12-29
- 2020-12-30
-
2020-12-31
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Pain in extremity — Feeling: Good · Site: Pain · HeadacheFree text: A little arm pain off snd on yesterday. None today. Very brief headache yesterday evening. None todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-01
-
2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · FeverFree text: I feel . Took no med. my usual temp is 96.7 to 97.7. After vaccine, 98.5 to Max 99.1 yesterdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
-
2021-01-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Insomnia — Feeling: Good · HeadacheFree 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
-
2021-01-06
Survey response — day 7, dose 1MedDRA: Headache, Pain in extremity — Feeling: Good · HeadacheFree 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
- 2021-01-12
- 2021-01-19
-
2021-01-26
Dose 2 — Moderna
- 2021-02-21
- 2021-02-23
- 2021-03-02
- 2021-03-09
- 2021-04-27
-
2021-07-27
Survey response — 6 months, dose 2MedDRA: Conjunctivitis, Viral upper respiratory tract infection — Feeling: Good · Be unable to work or attend schoolFree text: Viral upper respiratory infection and pink eyes. Dont think related to shot. I think o got it from my grandsonMedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-04
Dose 3 — Pfizer-BioNTech
- 2022-01-26
-
2022-05-07
Survey response — 6 months, dose 3MedDRA: COVID-19, Cough, Nasal congestion, Rhinorrhoea, SARS-CoV-2 test negative — Feeling: GoodFree text: I had Covid on 2-25-22. Doing ok but this week coughing a lot and stuffy or runny nose. Covid negative triceMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | |
| 2 | 2021-01-26 | Moderna | |
| 3 | 2021-11-04 | Pfizer-BioNTech | No |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): A little arm pain off snd on yesterday. None today. Very brief headache yesterday evening. None today
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
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
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Conjunctivitis | ✓ | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Viral upper respiratory tract infection | ✓ | · | ✓ |
| SRO | Body temperature increased | ○ | ○ | ○ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release