63J-22063-69554
4 vaccinations
3 coded responses
15 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 061 / CT
- Registered
- 2021-01-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-13
Dose 1 — Moderna
-
2021-01-22
Registered in v-safe
-
2021-01-22
Health check-in — day 7, dose 1Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-01-27
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site warmth — Feeling: FairFree text: I developed a bright red ( and hot to the touch) rash at the injection site. It has spread almost to my elbow, but it is now lighter in color and no longer hot to touch. I am scheduled for a video conference tomorrow morning with my primary care drMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-03
-
2021-02-10
Dose 2 — Moderna
-
2021-02-17
Survey response — day 7, dose 2MedDRA: Urinary tract infection — Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I developed a UTI within 2 days of the shot. May be that my resistance was lowered by fighting the vaccine??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-24
- 2021-03-03
-
2021-03-10
Survey response — day 28, dose 2MedDRA: Aphasia, Feeling abnormal — Feeling: FairFree text: I feel that I have bit of brain fog. I felt it earlier but didnt connect it as a possible result of the vaccine. Lately Ive had a bit of trouble with finding the words to express myself. Could it be the vaccine??MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-08-11
-
2021-09-01
Dose 3 — Moderna
- 2021-12-01
- 2022-03-02
-
2022-04-07
Dose 4 — Moderna
- 2022-05-14
- 2022-05-19
- 2022-07-07
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-13 | Moderna | |
| 2 | 2021-02-10 | Moderna | |
| 3 | 2021-09-01 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Free text
Release 2 — day 14, dose 1
Symptoms: I developed a bright red ( and hot to the touch) rash at the injection site. It has spread almost to my elbow, but it is now lighter in color and no longer hot to touch. I am scheduled for a video conference tomorrow morning with my primary care dr cut off by CDC
Release 4 — day 7, dose 2
Systemic reaction (other): I developed a UTI within 2 days of the shot. May be that my resistance was lowered by fighting the vaccine??
Release 5 — day 28, dose 2
Symptoms: I feel that I have bit of brain fog. I felt it earlier but didnt connect it as a possible result of the vaccine. Lately Ive had a bit of trouble with finding the words to express myself. Could it be the vaccine??
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 | Aphasia | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | Urinary tract infection | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release