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66C-31906-97236

4 vaccinations 3 coded responses 49 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
863 / AZ
Registered
2021-02-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-22
    Dose 1 — Moderna
  2. 2021-02-23
    Registered in v-safe
  3. 2021-02-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain, Redness, Swelling · None
    Adult check-in
  4. 2021-02-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-01
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-22
    Dose 2 — Moderna
  12. 2021-03-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fever · Chills
    Free text: More tired than usual
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-03-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  17. 2021-03-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-29
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-05
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-12
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-19
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-26
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-21
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-20
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-05
    Dose 3 — Moderna
  27. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  28. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  29. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling · None
    Adult check-in
  30. 2021-11-09
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  31. 2021-11-10
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  33. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  34. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  35. 2021-11-26
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-03
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  37. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-05-09
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  41. 2022-07-27
    Dose 4 — Pfizer-BioNTech
  42. 2022-07-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  43. 2022-07-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Redness, Swelling · Fatigue or tiredness
    Adult check-in
  44. 2022-07-31
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  45. 2022-08-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  46. 2022-08-02
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-08-05
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  48. 2022-08-10
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  49. 2022-08-19
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-08-29
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  51. 2022-08-31
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  52. 2022-09-09
    Survey response — day 42, dose 4
    MedDRA: Exposure to SARS-CoV-2, SARS-CoV-2 test negative — Feeling: Good
    Free text: Feeling fine, but exposed to family with Covid 2 adult children about a week apart and the to my 5yr old grandson who was negative yesterday, positive today. 1 1/2 yr old grandson still negative. I have tested with antigen test and still negative.
    MedDRA releases: 2024-11 · check-in free text available
  53. 2022-10-26
    Survey response — 3 months, dose 4
    MedDRA: Ageusia, Fatigue, Quarantine, Rhinorrhoea, SARS-CoV-2 test negative, SARS-CoV-2 test positive — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had booster shot on 7/27/22. Covid positive test on 9/11/22. Covid negative 9/22/22. Exposed by family. Mild symptoms. No fever, no cough, no sore throat, some fatigue and runny nose. Some mild loss of taste. Had to self isolate.
    MedDRA releases: 2024-11 · check-in free text available
  54. 2023-01-27
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-22Moderna
22021-03-22Moderna
32021-11-05Moderna No
42022-07-27Pfizer-BioNTech No

Free text

Release 6 — days 1–6 daily, dose 2

2021-03-23

Systemic reaction (other): More tired than usual

Release 12 — day 42, dose 4

2022-09-09

Symptoms: Feeling fine, but exposed to family with Covid 2 adult children about a week apart and the to my 5yr old grandson who was negative yesterday, positive today. 1 1/2 yr old grandson still negative. I have tested with antigen test and still negative. cut off by CDC

Release 12 — 3 months, dose 4

2022-10-26

Symptoms: Had booster shot on 7/27/22. Covid positive test on 9/11/22. Covid negative 9/22/22. Exposed by family. Mild symptoms. No fever, no cough, no sore throat, some fatigue and runny nose. Some mild loss of taste. Had to self isolate.

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

FieldPreferred term2021-092023-042024-11
SDAgeusia · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue · · ✓
SDQuarantine · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSARS-CoV-2 test positive · · ✓
SROFatigue ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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