6P5-30879-92625
5 vaccinations
6 coded responses
49 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 591 / MT
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
-
2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Chemotherapy, Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Fatigue may be from chemoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-09
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Fair · Fatigue or tirednessFree text: Fatigue from chemoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-10
- 2021-03-11
-
2021-03-18
Survey response — day 14, dose 1MedDRA: Injection site pruritus, Injection site rash, Injection site swelling, Injection site warmth, Rash erythematous — Feeling: GoodFree text: On Sunday 3/14 noticed lemon-sized faint red rash around injection site; slightly warm and itchy. Lasted 2 days; gone now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-25
-
2021-04-01
Dose 2 — Moderna
- 2021-04-01
- 2021-04-01
-
2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pain in extremity, Pyrexia, Self-medication — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Last night, 24 hours post injection, fever reached 100.3 and chills; arm very sore. Took Ibuprofen before bed; slept sound. Much better today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-07-01
-
2021-08-18
Dose 3 — Moderna
- 2021-09-30
- 2021-11-17
-
2022-02-16
Survey response — 6 months, dose 3MedDRA: Pre-existing disease, Unevaluable event — Feeling: FairFree text: I think I have IBS; am making Dr appt to check it out. Want to make sure my cancer isn't back (similar symptoms).MedDRA releases: 2024-11 · check-in free text available
-
2022-04-26
Dose 4 — Moderna
- 2022-04-26
-
2022-04-27
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2022-04-28
- 2022-04-29
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-07-26
-
2022-10-09
Dose 5 — Pfizer-BioNTech
- 2022-10-25
- 2022-10-25
- 2022-10-30
- 2022-11-06
- 2022-11-13
- 2022-11-20
-
2023-01-08
Survey response — 3 months, dose 5MedDRA: Hypersensitivity — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-08-18 | Moderna | No |
| 4 | 2022-04-26 | Moderna | No |
| 5 | 2022-10-09 | Pfizer-BioNTech | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Fatigue may be from chemo
Systemic reaction (other): Fatigue from chemo
Release 5 — day 14, dose 1
Symptoms: On Sunday 3/14 noticed lemon-sized faint red rash around injection site; slightly warm and itchy. Lasted 2 days; gone now.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Last night, 24 hours post injection, fever reached 100.3 and chills; arm very sore. Took Ibuprofen before bed; slept sound. Much better today.
Release 11 — 6 months, dose 3
Symptoms: I think I have IBS; am making Dr appt to check it out. Want to make sure my cancer isn't back (similar symptoms).
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 | Hypersensitivity | · | · | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Rash erythematous | ✓ | ✓ | ✓ |
| SD | Unevaluable event | · | · | ✓ |
| SRO | Chemotherapy | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release