5T3-27013-48966
3 vaccinations
4 coded responses
34 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 275 / NC
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
-
2021-03-12
Survey response — day 0, dose 1MedDRA: Headache, Pain — Feeling: Good · Site: Pain · Headache, Muscle or body achesFree text: Im not covinced my headache and body aches are from the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
-
2021-03-18
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Fatigue, Headache — Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tirednessFree text: None of those symptoms because of the vaccine. I periodically experienced a few before I received the vacinne so having a little fatigue, occasional headache, chills is not all at the same time is normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
-
2021-03-26
Survey response — day 14, dose 1MedDRA: Rash, Rash pruritic, Self-medication — Feeling: GoodFree text: Slight itchy rash on my left forearm that disappeared with hydrocortisone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
-
2021-04-08
Dose 2 — Moderna
-
2021-04-09
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-04-10
- 2021-04-11
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Rash, not including the immediate area around the injection siteAdult check-in
- 2021-04-14
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-07-08
-
2021-10-26
Dose 3 — Moderna
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Pain in extremity, Self-medication — Feeling: GoodFree text: On the day of my 3rd shot and for the two days after my arm was really sore and I took tylenol for the pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-25
- 2021-11-30
- 2021-12-07
- 2022-01-25
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-08 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Im not covinced my headache and body aches are from the vaccine.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): None of those symptoms because of the vaccine. I periodically experienced a few before I received the vacinne so having a little fatigue, occasional headache, chills is not all at the same time is normal.
Release 6 — day 14, dose 1
Symptoms: Slight itchy rash on my left forearm that disappeared with hydrocortisone.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On the day of my 3rd shot and for the two days after my arm was really sore and I took tylenol for the pain.
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 | Rash | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release