69Y-17924-70792
5 vaccinations
3 coded responses
43 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 028 / RI
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-31
Dose 1 — Moderna
-
2021-02-01
Registered in v-safe
- 2021-02-01
- 2021-02-02
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-14
- 2021-02-21
-
2021-02-27
Dose 2 — Moderna
- 2021-02-27
-
2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Swelling · ChillsFree text: I actually feel disappointed that I didn't get more of a reaction. Is my immune system working?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-04-03
- 2021-04-10
-
2021-05-29
Survey response — 3 months, dose 2MedDRA: Chills, Diarrhoea, Hyperhidrosis, Vomiting — Feeling: Good · Be unable to do your normal daily activitiesFree text: One day about 10 days ago, I had vomiting, diarrhea, sweats and chills, no fever or temperature. It was over in less than 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-08-28
Survey response — 6 months, dose 2MedDRA: Dermatitis, Pruritus, Skin burning sensation, Urticaria — Feeling: GoodFree text: About 3 months ago I had burning/itching inflamed welts onthe back of my legs, from knee to thigh. Disappeared after a few days. Returned 2 weeks ago, disappeared and returned yesterday. Can't find a reason for this. Going to call the doctor Monday.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-11-24
Dose 3 — Moderna
- 2022-02-27
-
2022-04-06
Dose 4 — Moderna
- 2022-05-18
- 2022-07-06
- 2022-10-05
-
2022-10-14
Dose 5 — Moderna
- 2022-10-14
- 2022-10-15
- 2022-10-16
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-21
- 2022-10-28
- 2022-11-04
- 2022-11-11
- 2022-11-18
- 2022-11-25
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-31 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-11-24 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I actually feel disappointed that I didn't get more of a reaction. Is my immune system working?
Release 8 — 3 months, dose 2
Symptoms: One day about 10 days ago, I had vomiting, diarrhea, sweats and chills, no fever or temperature. It was over in less than 24 hours.
Release 9 — 6 months, dose 2
Symptoms: About 3 months ago I had burning/itching inflamed welts onthe back of my legs, from knee to thigh. Disappeared after a few days. Returned 2 weeks ago, disappeared and returned yesterday. Can't find a reason for this. Going to call the doctor Monday. cut off by CDC
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 | Chills | ✓ | ✓ | ✓ |
| SD | Dermatitis | ✓ | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Hyperhidrosis | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | · | ✓ |
| SD | Skin burning sensation | ✓ | · | ✓ |
| SD | Urticaria | ✓ | · | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release