654-11586-75235
4 vaccinations
5 coded responses
30 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 197 / DE
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
-
2021-03-19
Survey response — day 14, dose 1MedDRA: Injection site rash, Rash erythematous, Rash papular, Rash pruritic — Feeling: GoodFree text: On day 8 I developed a very itchy red raised bumpy rash at the injection site. It was very red and itchy for about five days. It has since gone away and just itches a very little bit.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
-
2021-04-09
Survey response — day 7, dose 2MedDRA: Fatigue, Headache — Feeling: Good · Headache · Be unable to do your normal daily activitiesFree text: One day after the 2nd vaccine i had a severe headache thst lasted a day and a half. I felt worn out for two additional daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
-
2021-09-17
Dose 3 — Moderna
- 2021-10-01
- 2021-10-29
- 2021-12-17
-
2022-03-20
Survey response — 6 months, dose 3MedDRA: Cough, Nasal congestion, Nasopharyngitis — Feeling: GoodFree text: A cold; stuffy nose, cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-08
Dose 4 — Moderna
- 2022-05-14
-
2022-05-15
Survey response — day 7, dose 4MedDRA: Fatigue, Myalgia — Feeling: GoodFree text: I had tiredness, muscle aches the night i had the booster (overnight on 5/8/22.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-22
- 2022-05-29
- 2022-06-05
- 2022-06-12
- 2022-06-19
-
2022-08-07
Survey response — 3 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to work or attend schoolFree text: CovidMedDRA releases: 2024-11 · check-in free text available
- 2022-11-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-09-17 | Moderna | No |
| 4 | 2022-05-08 | Moderna | No |
Free text
Release 5 — day 14, dose 1
Symptoms: On day 8 I developed a very itchy red raised bumpy rash at the injection site. It was very red and itchy for about five days. It has since gone away and just itches a very little bit.
Release 7 — day 7, dose 2
Systemic reaction (other): One day after the 2nd vaccine i had a severe headache thst lasted a day and a half. I felt worn out for two additional days
Release 11 — 6 months, dose 3
Symptoms: A cold; stuffy nose, cough.
Release 11 — day 7, dose 4
Systemic reaction (other): I had tiredness, muscle aches the night i had the booster (overnight on 5/8/22.
Release 12 — 3 months, dose 4
Symptoms: Covid
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 | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Rash papular | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Myalgia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release