LCG-19473-31095
3 vaccinations
6 coded responses
35 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 31-35
- ZIP prefix
- 544 / WI
- Registered
- 2021-01-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-05
Registered in v-safe
-
2021-01-05
Dose 1 — Moderna
- 2021-01-05
- 2021-01-06
- 2021-01-07
- 2021-01-08
- 2021-01-09
- 2021-01-19
- 2021-01-26
- 2021-02-02
-
2021-02-05
Dose 2 — Moderna
-
2021-02-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · NoneAdult check-in
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-20
- 2021-02-26
- 2021-03-05
- 2021-03-12
- 2021-03-19
-
2021-05-07
Survey response — 3 months, dose 2MedDRA: Fatigue, Headache, Oropharyngeal pain, Pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to workFree text: One bout of illness: body aches, fatigue, sore throat, congestion, headache. Covid test via PCR was negative.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-08-06
-
2021-12-20
Dose 3 — Moderna
- 2021-12-20
-
2021-12-21
Survey response — days 1–6 daily, dose 3MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: LightheadednessMedDRA releases: 2024-11 · check-in free text available
-
2021-12-22
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain — Feeling: Good · Site: PainFree text: Under arm pain near lymph nodes on side of injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-23
Survey response — days 1–6 daily, dose 3MedDRA: Axillary pain, Swelling — Feeling: Good · Site: PainFree text: Pain and swelling in under arm on side of injectionMedDRA releases: 2024-11 · check-in free text available
-
2021-12-24
Survey response — days 1–6 daily, dose 3MedDRA: Lymph node pain — Feeling: GoodFree text: Very mild lymph node pain on side of injectionMedDRA releases: 2024-11 · check-in free text available
- 2021-12-25
- 2021-12-26
- 2021-12-27
-
2022-01-03
Survey response — day 14, dose 3MedDRA: Nasopharyngitis — Feeling: FairFree text: ColdMedDRA releases: 2024-11 · check-in free text available
- 2022-01-10
- 2022-01-17
- 2022-01-24
- 2022-01-31
- 2022-03-21
- 2022-06-22
- 2022-12-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-05 | Moderna | |
| 2 | 2021-02-05 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
Free text
Release 8 — 3 months, dose 2
Symptoms: One bout of illness: body aches, fatigue, sore throat, congestion, headache. Covid test via PCR was negative.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Lightheadedness
Systemic reaction (other): Under arm pain near lymph nodes on side of injection
Systemic reaction (other): Pain and swelling in under arm on side of injection
Systemic reaction (other): Very mild lymph node pain on side of injection
Release 10 — day 14, dose 3
Symptoms: Cold
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | ✓ | ✓ | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | ✓ | ✓ |
| SRO | Axillary pain | · | · | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release