62Z-21032-41562
5 vaccinations
4 coded responses
39 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 857 / AZ
- Registered
- 2021-01-30
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-19
Dose 1 — Moderna
-
2021-01-30
Registered in v-safe
- 2021-01-30
- 2021-02-03
-
2021-02-10
Survey response — day 21, dose 1MedDRA: Diarrhoea — Feeling: GoodFree text: Diarrhea for a few hoursMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-16
-
2021-02-17
Dose 2 — Moderna
-
2021-02-23
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Rash — Feeling: Good · Site: Redness · Joint painsFree text: I got a rash on my chest the dat I got my 2nd vaccine. Lasted a few hours. I got a similar rash 3 days after 1st vaccine. That one was itchy and lasted one day. Both shots I got red warm 3x3 patch travel 5 inches down injected arm. Itchy on off with 2ndMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-05-19
- 2021-08-20
-
2021-10-22
Dose 3 — Moderna
-
2021-10-25
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Dizziness, Fatigue, Influenza like illness, Pain, Pain in extremity — Feeling: GoodFree text: I got my shot 3 days ago and felt flu like symptoms for about 48 hours. Achy chills fatigue. Sore arm light headed. All better nowMedDRA releases: 2024-11 · check-in free text available
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Headache, Diarrhea, Abdominal pain, Rash, not including the immediate area around the injection siteAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2022-01-21
- 2022-04-22
-
2022-05-05
Dose 4 — Moderna
-
2022-05-15
Survey response — day 7, dose 4MedDRA: Dizziness, Fatigue, Pain, Pain in extremity — Feeling: GoodFree text: I got the shot 10 days ag and felt achy and tired for 48 hours and a bit light headed. Arm was a bit sore.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-09
- 2022-06-16
- 2022-08-04
-
2022-09-15
Dose 5 — Moderna
- 2022-09-29
- 2022-10-06
- 2022-10-14
- 2022-10-20
- 2022-10-27
- 2022-12-15
- 2023-03-16
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-19 | Moderna | |
| 2 | 2021-02-17 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-05-05 | Moderna | No |
| 5 | 2022-09-15 | Moderna | No |
Free text
Release 4 — day 21, dose 1
Symptoms: Diarrhea for a few hours
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I got a rash on my chest the dat I got my 2nd vaccine. Lasted a few hours. I got a similar rash 3 days after 1st vaccine. That one was itchy and lasted one day. Both shots I got red warm 3x3 patch travel 5 inches down injected arm. Itchy on off with 2nd
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I got my shot 3 days ago and felt flu like symptoms for about 48 hours. Achy chills fatigue. Sore arm light headed. All better now
Release 11 — day 7, dose 4
Systemic reaction (other): I got the shot 10 days ag and felt achy and tired for 48 hours and a bit light headed. Arm was a bit sore.
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 | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Influenza like illness | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release