66S-11973-93577
4 vaccinations
7 coded responses
50 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 800 / CO
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
-
2021-01-27
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
- 2021-02-03
-
2021-02-10
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Itchy and slightly red arm at the injection site-started on day eight and is better today - day 14.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
-
2021-02-24
Dose 2 — Moderna
- 2021-02-24
-
2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain · Fever · Fatigue or tirednessFree text: Not really - Just the general tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-26
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pruritus, Pyrexia — Feeling: Fair · Headache, Fatigue or tirednessFree text: From 4 yesterday afternoon snd until bedtime I had fever, chills, and itchiness bit its all gone today!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-05-26
- 2021-08-25
-
2021-09-18
Dose 3 — Moderna
-
2021-09-19
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
-
2021-09-20
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body achesAdult check-in
- 2021-09-21
- 2021-09-22
- 2021-09-23
- 2021-09-24
- 2021-09-25
- 2021-10-02
- 2021-10-09
- 2021-10-16
- 2021-10-23
- 2021-10-30
- 2021-12-18
- 2022-03-19
-
2022-04-01
Dose 4 — Moderna
-
2022-04-05
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Redness, Itching · Joint pains, Muscle or body achesAdult check-in
-
2022-04-06
Survey response — days 1–6 daily, dose 4MedDRA: Chills, Pain, Pyrexia — Feeling: Good · Site: Pain, Redness, ItchingFree text: I am fine today but I had fever, chills, and achiness for the first 72 hours starting about 8 hours after I got the shotMedDRA releases: 2024-11 · check-in free text available
-
2022-04-07
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2022-04-08
- 2022-04-15
- 2022-04-22
-
2022-04-30
Survey response — day 28, dose 4MedDRA: Malaise, Mobility decreased, SARS-CoV-2 test — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I am sick in bed - waiting for PCR test results to rule out COVIDMedDRA releases: 2024-11 · check-in free text available
-
2022-05-06
Survey response — day 35, dose 4MedDRA: Influenza, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Flu - negative COVID testMedDRA releases: 2024-11 · check-in free text available
- 2022-05-13
- 2022-07-01
- 2022-09-30
- 2023-04-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna | |
| 3 | 2021-09-18 | Moderna | No |
| 4 | 2022-04-01 | Moderna | No |
Free text
Release 2 — day 0, dose 1
Systemic reaction (other): None
Release 4 — day 14, dose 1
Symptoms: Itchy and slightly red arm at the injection site-started on day eight and is better today - day 14.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Not really - Just the general tiredness
Systemic reaction (other): From 4 yesterday afternoon snd until bedtime I had fever, chills, and itchiness bit its all gone today!
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I am fine today but I had fever, chills, and achiness for the first 72 hours starting about 8 hours after I got the shot
Release 11 — day 28, dose 4
Symptoms: I am sick in bed - waiting for PCR test results to rule out COVID
Release 11 — day 35, dose 4
Symptoms: Flu - negative COVID test
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 | Influenza | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release