6TV-32450-22413
4 vaccinations
5 coded responses
32 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 191 / PA
- Registered
- 2021-04-08
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-08
Registered in v-safe
-
2021-04-08
Dose 1 — Moderna
-
2021-04-08
Survey response — day 0, dose 1MedDRA: Paraesthesia — Feeling: GoodFree text: Fingers tingled after injectionMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-04-11
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Pain — Feeling: GoodFree text: I think what I reported yesterday as aches may have actually been join pain, but whatever it was it was mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-17
- 2021-04-22
- 2021-04-29
-
2021-05-06
Dose 2 — Moderna
- 2021-05-06
-
2021-05-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-12
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-06-17
- 2021-08-05
- 2021-11-04
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2021-11-16
Dose 3 — Moderna
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2022-05-06
Survey response — 12 months, dose 2MedDRA: COVID-19, Hypertension, Office visit — Feeling: GoodFree text: Had booster in vive her and covid in Jan. Went to well visit this month and have high blood pressure.MedDRA releases: 2024-11 · check-in free text available
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2022-09-11
Dose 4 — Pfizer-BioNTechCo-administered: Flu
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2022-09-17
Survey response — days 1–6 daily, dose 4MedDRA: Erythema, Immunisation reaction, Pain in extremity, Pruritus — Feeling: GoodFree text: I had covid arm starting on 2/13/22-red, swollen, painful and itchyMedDRA releases: 2024-11 · check-in free text available
-
2022-09-18
Survey response — day 7, dose 4MedDRA: Immunisation reaction, Pain — Feeling: GoodFree text: I didn't reconnect with carafe untilAlmost a week after my booster. I was achy for first 24 hours and then had covid arm from about days 2-4MedDRA releases: 2024-11 · check-in free text available
- 2022-09-25
- 2022-10-04
- 2022-10-09
- 2022-10-19
- 2022-10-23
- 2022-12-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-08 | Moderna | |
| 2 | 2021-05-06 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-09-11 | Pfizer-BioNTech | Flu |
Free text
Release 7 — day 0, dose 1
Systemic reaction (other): Fingers tingled after injection
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I think what I reported yesterday as aches may have actually been join pain, but whatever it was it was mild.
Release 11 — 12 months, dose 2
Symptoms: Had booster in vive her and covid in Jan. Went to well visit this month and have high blood pressure.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): I had covid arm starting on 2/13/22-red, swollen, painful and itchy
Release 12 — day 7, dose 4
Systemic reaction (other): I didn't reconnect with carafe untilAlmost a week after my booster. I was achy for first 24 hours and then had covid arm from about days 2-4
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 | Hypertension | · | · | ✓ |
| SD | Office visit | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Erythema | · | · | ✓ |
| SRO | Immunisation reaction | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Pruritus | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release