XXW-14220-62484
4 vaccinations
5 coded responses
50 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 801 / CO
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-20
Registered in v-safe
-
2021-03-20
Dose 1 — Moderna
-
2021-03-20
Survey response — 0 day, dose 1MedDRA: No adverse event — Feeling: Good · Site: PainMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-03-21
- 2021-03-22
- 2021-03-24
- 2021-03-26
- 2021-03-27
- 2021-04-03
- 2021-04-10
-
2021-04-17
Dose 2 — Moderna
- 2021-04-17
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-19
-
2021-04-20
Survey response — days 1–6 daily, dose 2MedDRA: Injection site erythema, Injection site rash, Injection site warmth, Rash — Feeling: Good · Rash, not including the immediate area around the injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in answers available
- 2021-04-21
- 2021-04-22
- 2021-04-23
- 2021-04-24
- 2021-05-01
- 2021-05-08
- 2021-05-15
- 2021-05-24
- 2021-05-29
- 2021-07-17
- 2021-10-16
-
2021-11-22
Dose 3 — Moderna
-
2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fever · Chills, Headache, Fatigue or tirednessAdult check-in
-
2021-11-24
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: PainMedDRA releases: 2024-11 · check-in answers available
- 2021-11-25
- 2021-11-26
- 2021-11-27
- 2021-11-28
- 2021-11-29
-
2021-12-06
Survey response — 14 day, dose 3MedDRA: Chills, Headache, Impaired work ability, Self-medication — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
- 2022-02-21
-
2022-04-28
Dose 4 — Moderna
-
2022-04-30
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2022-05-01
- 2022-05-02
- 2022-05-03
- 2022-05-04
- 2022-05-06
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-03
-
2022-06-09
Survey response — 42 day, dose 4MedDRA: Cough, Respiratory tract congestion — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesMedDRA releases: 2024-11 · check-in answers available
- 2022-07-28
- 2022-10-27
- 2023-04-28
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-20 | Moderna | |
| 2 | 2021-04-17 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-04-28 | Moderna | No |
Free text
Release 6
Systemic reaction (other): None
Release 7
Systemic reaction (other): The injection sit is not red. The rash is more like redness in 4x4 space off to the side of the injection site. It was warm to the touch earlier today and has now subsided.
Release 10
Systemic reaction (other): None
Symptoms: Got a 2nd Shingles shot in the morning of December 2nd. By evening, I had a headache and chills, but no above normal temperature. Used extra strength Tylenol to manage. Also stopped work. By the morning of December 4th, all symptoms were gone.
Release 12
Symptoms: Cough, congestion
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SRO | Injection site erythema | ✓ | ✓ | ✓ |
| SRO | Injection site rash | · | · | ✓ |
| SRO | Injection site warmth | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release