69Q-31116-56062
4 vaccinations
6 coded responses
35 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 927 / CA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Dose 1 — Moderna
-
2021-01-27
Registered in v-safe
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Joint painsAdult check-in
-
2021-01-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · Headache, Joint painsAdult check-in
- 2021-01-29
- 2021-01-30
-
2021-01-31
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2021-02-01
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-22
Dose 2 — Moderna
-
2021-02-23
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-02-24
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication — Feeling: Good · Site: Pain · ChillsFree text: Yesterday I want to report my temp went to 100°. But today no fever after Tylenol and Advil last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-25
- 2021-02-26
- 2021-02-27
- 2021-02-28
- 2021-03-01
-
2021-03-08
Survey response — day 14, dose 2MedDRA: Rhinorrhoea, Sneezing — Feeling: GoodFree text: I have had a little bit of sneezing and runny nose. May be allergies... but not sureMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
- 2021-03-22
- 2021-03-29
- 2021-04-05
-
2021-05-24
Survey response — 3 months, dose 2MedDRA: Nasal congestion — Feeling: GoodFree text: Stuffy nose last night and this morning. Gone nowMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-23
-
2021-11-05
Dose 3 — Moderna
- 2022-02-22
- 2022-05-06
-
2022-10-30
Dose 4 — Moderna
-
2022-11-05
Survey response — 12 months, dose 3MedDRA: Herpes zoster, Oral herpes zoster — Feeling: GoodFree text: I had shingles a few weeks ago- mostly in my mouth. Took valacyclovir.MedDRA releases: 2024-11 · check-in free text available
-
2022-11-05
Survey response — days 1–6 daily, dose 4MedDRA: Pain, Pyrexia, Vomiting — Feeling: Good · Site: PainFree text: After the fourth dose, I vomited the next morning, had a fever and body aches for about 20 hoursMedDRA releases: 2024-11 · check-in free text available
- 2022-11-06
- 2022-11-13
- 2022-11-22
- 2022-11-27
- 2022-12-04
- 2022-12-11
- 2023-01-31
-
2023-04-30
Survey response — 6 months, dose 4MedDRA: COVID-19, Malaise, Pain, Pyrexia, Wheezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-22 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-10-30 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday I want to report my temp went to 100°. But today no fever after Tylenol and Advil last night
Release 5 — day 14, dose 2
Symptoms: I have had a little bit of sneezing and runny nose. May be allergies... but not sure
Release 8 — 3 months, dose 2
Symptoms: Stuffy nose last night and this morning. Gone now
Release 12 — 12 months, dose 3
Symptoms: I had shingles a few weeks ago- mostly in my mouth. Took valacyclovir.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): After the fourth dose, I vomited the next morning, had a fever and body aches for about 20 hours
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 | COVID-19 | · | · | ✓ |
| SD | Herpes zoster | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | ✓ | ✓ | ✓ |
| SD | Oral herpes zoster | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SD | Sneezing | ✓ | ✓ | ✓ |
| SD | Wheezing | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Vomiting | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release