5SW-35088-45955
4 vaccinations
6 coded responses
35 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 321 / FL
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-04-03
- 2021-04-07
- 2021-04-14
-
2021-04-17
Dose 2 — Moderna
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-07
- 2021-05-09
- 2021-05-17
- 2021-05-22
- 2021-05-29
- 2021-07-17
-
2021-10-17
Survey response — 6 months, dose 2MedDRA: Ageusia, Anosmia, Fatigue, Pre-existing disease, Unevaluable event, Weight decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue, breathing, appetite for 4 days. I had covid-19 in March 2020 before testing in Florida only had to have fever of 100° or above which I didn't have. I lost 30 lbs due to no smell or taste until after 1st shot and still have long-term issuesMedDRA releases: 2024-11 · check-in free text available
-
2021-11-03
Dose 3 — Pfizer-BioNTechCo-administered: Flu
- 2021-11-04
-
2021-11-08
Survey response — days 1–6 daily, dose 3MedDRA: Influenza like illness — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Feels like Flu from flu vaccine a few days agoMedDRA releases: 2024-11 · check-in free text available
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Chills, Fatigue or tirednessAdult check-in
- 2021-11-12
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
-
2021-12-15
Survey response — day 42, dose 3MedDRA: Cough, Fatigue, Myalgia, Night sweats — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Tried, dry cough, muscle pain, night sweats for 4 daysMedDRA releases: 2024-11 · check-in free text available
- 2022-02-02
-
2022-04-01
Dose 4 — Pfizer-BioNTech
-
2022-04-19
Survey response — day 14, dose 4MedDRA: Cough, Decreased appetite, Malaise, Pre-existing disease — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Cough is off and on believe in Feb 12th i start feeling sick and tried after a trip to (b)(6) PA, cough,no appetite for 5 days and bedridden for 8. I still have long haulers from March 2020 after my husband returned from (b)(6), FLMedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-30
- 2022-05-08
- 2022-05-15
- 2022-07-01
-
2022-09-30
Survey response — 6 months, dose 4MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Exposed to covid-19 again its 4th time. This time i was tried, aches, sore throat, headaches, coughingMedDRA releases: 2024-11 · check-in free text available
-
2023-04-01
Survey response — 12 months, dose 4MedDRA: COVID-19, Dyspnoea, Malaise — Feeling: Fair · Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-17 | Moderna | |
| 3 | 2021-11-03 | Pfizer-BioNTech | Flu |
| 4 | 2022-04-01 | Pfizer-BioNTech | No |
Free text
Release 10 — 6 months, dose 2
Symptoms: Fatigue, breathing, appetite for 4 days. I had covid-19 in March 2020 before testing in Florida only had to have fever of 100° or above which I didn't have. I lost 30 lbs due to no smell or taste until after 1st shot and still have long-term issues cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Feels like Flu from flu vaccine a few days ago
Release 10 — day 42, dose 3
Symptoms: Tried, dry cough, muscle pain, night sweats for 4 days
Release 11 — day 14, dose 4
Symptoms: Cough is off and on believe in Feb 12th i start feeling sick and tried after a trip to (b)(6) PA, cough,no appetite for 5 days and bedridden for 8. I still have long haulers from March 2020 after my husband returned from (b)(6), FL
redacted (b)(6)
Release 12 — 6 months, dose 4
Symptoms: Exposed to covid-19 again its 4th time. This time i was tried, aches, sore throat, headaches, coughing
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 | Ageusia | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Decreased appetite | · | · | ✓ |
| SD | Dyspnoea | · | · | ✓ |
| SD | Exposure to SARS-CoV-2 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Night sweats | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release