XXQ-16128-75731
5 vaccinations
11 coded responses
64 check-ins
11 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 801 / CO
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-12
- 2021-02-19
- 2021-02-26
-
2021-03-05
Dose 2 — Moderna
-
2021-03-05
Health check-in — 0 day, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fever · NoneAdult check-in
-
2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling · Fever · HeadacheAdult check-in
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Pyrexia — Feeling: Good · Site: Pain, Swelling · Fever · HeadacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-08
- 2021-03-09
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
-
2021-06-04
Survey response — 3 month, dose 2MedDRA: Anxiety, Atrial fibrillation, Heart rate increased, Office visit — Feeling: GoodMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-09-03
-
2021-10-25
Dose 3 — Moderna
-
2021-10-25
Survey response — 0 day, dose 3MedDRA: Peripheral coldness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2021-10-26
Survey response — days 1–6 daily, dose 3MedDRA: Lymphadenopathy — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Lymph node pain — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog, Cognitive disorder — Feeling: Good · Site: Pain, Swelling · Fever · Headache, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2021-10-30
Survey response — days 1–6 daily, dose 3MedDRA: Bradyphrenia, Brain fog, Unevaluable event — Feeling: Good · Site: Pain · Fever · Headache, Muscle or body achesMedDRA releases: 2024-11 · check-in answers available
-
2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Brain fog — Feeling: Good · Site: Pain · Fever · HeadacheMedDRA releases: 2024-11 · check-in answers available
- 2021-11-01
- 2021-11-08
-
2021-11-15
Survey response — 21 day, dose 3MedDRA: Dizziness, Headache — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2021-11-22
- 2021-11-29
-
2021-12-06
Survey response — 42 day, dose 3MedDRA: Headache — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-01-24
-
2022-04-20
Dose 4 — Moderna
- 2022-04-20
-
2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · Fever · NoneAdult check-in
-
2022-04-22
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Swelling, Itching · HeadacheAdult check-in
- 2022-04-23
- 2022-04-24
- 2022-04-25
- 2022-04-26
- 2022-04-28
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
-
2022-10-13
Dose 5 — ModernaCo-administered: Flu
- 2022-10-13
-
2022-10-14
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Swelling · Fever · HeadacheAdult check-in
-
2022-10-15
Health check-in — days 1–6 daily, dose 5Feeling: Good · Site: Pain, Redness · Fever · NoneAdult check-in
- 2022-10-17
- 2022-10-18
- 2022-10-19
- 2022-10-20
- 2022-10-28
- 2022-11-03
-
2022-11-10
Survey response — 28 day, dose 5MedDRA: Pruritus — Feeling: GoodMedDRA releases: 2024-11 · check-in answers available
- 2022-11-17
- 2022-11-24
- 2023-01-12
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-25 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
| 5 | 2022-10-13 | Moderna | Flu |
Free text
Release 5
Systemic reaction (other): Slight Temperature and very intermittent very mild headache (dull) headache did not impair my daily activities other than I knew it was present.
Release 8
Symptoms: Warm day , high anxiety at work then a short wAlk up hill had high heart rate and a couple of atrial Fibs on Apple Watch. Went to see doc. Found Nothing. Cardiologist said was insignificant. Taking things slower. Has not reoccurred.
Release 10
Systemic reaction (other): Cold hands and feet.
Systemic reaction (other): Still have neck and shoulder lymph node type of discomfort. Not debilitated but I know it's there 24/7
Systemic reaction (other): Brain fog at times"lymph nodes are better but still sensitive.
Systemic reaction (other): Brain fog. Can't add well
Systemic reaction (other): Brain fog. Memory or delayed thinking.
Systemic reaction (other): Occasional Brain fog
Symptoms: Slight intermittent headaches several times a day and night. And once in a while lightheaded, not dizzy.
Symptoms: Been having a very slight headache pesuree mostly forehead. Unsure if stress or weather related but it comes and goes every day. Does not require any meds for control. Did not have any headaches before the booster, not even slight ones.
Release 12
Symptoms: Occasional itching. No welting. Just lasts ups to 45 minutes. On hands, arms and feet
Free-text releases are not linked to a specific 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 | Anxiety | ✓ | ✓ | ✓ |
| SD | Atrial fibrillation | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Office visit | ✓ | ✓ | ✓ |
| SD | Pruritus | · | · | ✓ |
| SRO | Bradyphrenia | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Cognitive disorder | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Lymph node pain | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Peripheral coldness | · | · | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release