678-81913-67627
2 vaccinations
6 coded responses
25 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 806 / CO
- Registered
- 2021-01-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-01-08
Registered in v-safe
-
2021-01-08
Dose 1 — Moderna
- 2021-01-08
-
2021-01-09
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-01-10
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness · Fever · Headache, Fatigue or tiredness, NauseaFree text: Congestion started last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-01-11
Survey response — days 1–6 daily, dose 1MedDRA: Respiratory tract congestion — Feeling: Good · Site: Pain · HeadacheFree text: Still some congestionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-12
- 2021-01-13
- 2021-01-14
- 2021-01-17
-
2021-01-22
Survey response — day 14, dose 1MedDRA: Rash — Feeling: GoodFree text: I developed a rash in my armpits...right one was worse than left. Actually developed it a few days after receiving the shot but didnt think it was a symptom until I realized I havent used anything new or different. It cleared up yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
-
2021-02-05
Dose 2 — Moderna
-
2021-02-05
Survey response — day 0, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Just received my 2nd dose 15 min agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Chills, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-07
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessFree text: After checking in yesterday I did have a fever but I did not wake up with itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-13
- 2021-02-19
- 2021-02-26
- 2021-03-05
- 2021-03-12
-
2021-03-20
Survey response — day 42, dose 2MedDRA: Ear pain, Headache — Feeling: FairFree text: Have had a bad head/ear ache for the last 3 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2022-02-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-08 | Moderna | |
| 2 | 2021-02-05 | Moderna |
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): Congestion started last night
Systemic reaction (other): Still some congestion
Release 2 — day 14, dose 1
Symptoms: I developed a rash in my armpits...right one was worse than left. Actually developed it a few days after receiving the shot but didnt think it was a symptom until I realized I havent used anything new or different. It cleared up yesterday.
Release 3 — day 0, dose 2
Systemic reaction (other): Just received my 2nd dose 15 min ago
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): After checking in yesterday I did have a fever but I did not wake up with it
Release 6 — day 42, dose 2
Symptoms: Have had a bad head/ear ache for the last 3 days
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 | Ear pain | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release