64Y-75563-89264
5 vaccinations
6 coded responses
46 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 852 / AZ
- Registered
- 2021-01-23
- Relationship
- Self
- Race
- American Indian or Alaska Native
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-23
Registered in v-safe
-
2021-01-23
Dose 1 — Moderna
-
2021-01-23
Survey response — day 0, dose 1MedDRA: Yawning — Feeling: Good · Site: PainFree text: I'm yawning a whole lot, but not feeling tiredMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-24
- 2021-01-25
- 2021-01-26
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-02-01
- 2021-02-06
-
2021-02-15
Survey response — day 21, dose 1MedDRA: Dry mouth, Dry throat, Nasal dryness — Feeling: GoodFree text: Dry mouth, throat, and nasal passagesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-20
Dose 2 — Moderna
-
2021-02-20
Survey response — day 0, dose 2MedDRA: Feeling cold, Peripheral coldness, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: My finger tips and toes got very cold and white a couple of times; I have Raynaud's but it's not cold in Az todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-21
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Chills, Joint painsAdult check-in
-
2021-02-22
Health check-in — days 1–6 daily, dose 2Feeling: Good · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-24
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-05-24
-
2021-08-21
Survey response — 6 months, dose 2MedDRA: Nasal pruritus, Pre-existing disease, Self-medication — Feeling: FairFree text: With monsoons rain and wind, allergies and arthritis aches. If my nasal rinse and gargle do not alleviate my itchy passages, and my allergy meds do not kick in, I'll know my daughter brought COVID-19 home from school.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-19
Dose 3 — Moderna
- 2022-02-20
-
2022-05-08
Dose 4 — Pfizer-BioNTech
- 2022-05-10
- 2022-05-11
- 2022-05-12
-
2022-05-13
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Fatigue or tirednessFree text: There really isn't a reason why I should feel fatigued todayMedDRA releases: 2024-11 · check-in free text available
- 2022-05-14
- 2022-05-17
- 2022-05-22
- 2022-05-29
- 2022-06-07
- 2022-06-12
-
2022-06-19
Survey response — day 42, dose 4MedDRA: Oropharyngeal pain, Rhinorrhoea — Feeling: GoodFree text: Runny nose and sore throatMedDRA releases: 2024-11 · check-in free text available
- 2022-08-07
-
2022-11-04
Dose 5 — Pfizer-BioNTech
- 2022-11-06
- 2022-11-10
- 2022-11-11
- 2022-11-27
- 2022-12-04
- 2022-12-09
- 2022-12-16
- 2023-02-05
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-20 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-05-08 | Pfizer-BioNTech | No |
| 5 | 2022-11-04 | Pfizer-BioNTech | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): I'm yawning a whole lot, but not feeling tired
Release 4 — day 21, dose 1
Symptoms: Dry mouth, throat, and nasal passages
Release 4 — day 0, dose 2
Systemic reaction (other): My finger tips and toes got very cold and white a couple of times; I have Raynaud's but it's not cold in Az today
Release 9 — 6 months, dose 2
Symptoms: With monsoons rain and wind, allergies and arthritis aches. If my nasal rinse and gargle do not alleviate my itchy passages, and my allergy meds do not kick in, I'll know my daughter brought COVID-19 home from school.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): There really isn't a reason why I should feel fatigued today
Release 12 — day 42, dose 4
Symptoms: Runny nose and sore throat
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 | Dry mouth | ✓ | ✓ | ✓ |
| SD | Dry throat | ✓ | ✓ | ✓ |
| SD | Nasal dryness | ✓ | ✓ | ✓ |
| SD | Nasal pruritus | ✓ | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | Self-medication | ✓ | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Peripheral coldness | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Yawning | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release