Y4C-27385-93488
6 vaccinations
4 coded responses
56 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 441 / OH
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-17
Dose 1 — Moderna
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 2 — Moderna
- 2021-03-17
-
2021-03-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-19
-
2021-03-20
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: Fair · Site: ItchingFree text: A little dizzy when I did too much playing with grand daughterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-04-14
- 2021-04-21
- 2021-04-28
- 2021-06-16
- 2021-09-15
-
2021-10-22
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
- 2021-11-05
- 2021-11-12
- 2021-11-19
-
2021-11-26
Survey response — day 35, dose 3MedDRA: Asthenia, Cough, Rhinorrhoea — Feeling: PoorFree text: My grandson got RSV and I am sure I have it. No fever but cough, runny nose and feeling of weakness.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-03
- 2022-01-21
-
2022-04-06
Dose 4 — Moderna
- 2022-04-18
- 2022-04-20
- 2022-04-28
- 2022-05-04
-
2022-05-11
Survey response — day 35, dose 4MedDRA: Feeling abnormal, Gastrointestinal disorder, Oropharyngeal pain, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Our son and family all tested positive for covid. We saw them 2 days before. I had sore throat and mild stomach problems and generally felt bad. Tested with at home covid test negative 3 different times. Dr. ordered PCR and negative also. So otheMedDRA releases: 2024-11 · check-in free text available
- 2022-05-19
- 2022-07-07
-
2022-09-16
Dose 5 — ModernaCo-administered: Flu
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-21
-
2022-09-23
Survey response — day 7, dose 5MedDRA: Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Fatigue or tirednessFree text: Runny nose and congestedMedDRA releases: 2024-11 · check-in free text available
- 2022-10-02
- 2022-10-09
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-12-16
- 2023-03-17
-
2023-05-11
Dose 6 — Moderna
- 2023-05-11
- 2023-05-12
- 2023-05-13
- 2023-05-14
- 2023-05-15
- 2023-05-16
- 2023-05-17
- 2023-05-18
- 2023-05-25
- 2023-06-01
- 2023-06-08
- 2023-06-17
- 2023-06-22
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-17 | Moderna | |
| 2 | 2021-03-17 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
| 5 | 2022-09-16 | Moderna | Flu |
| 6 | 2023-05-11 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): A little dizzy when I did too much playing with grand daughter
Release 10 — day 35, dose 3
Symptoms: My grandson got RSV and I am sure I have it. No fever but cough, runny nose and feeling of weakness.
Release 11 — day 35, dose 4
Symptoms: Our son and family all tested positive for covid. We saw them 2 days before. I had sore throat and mild stomach problems and generally felt bad. Tested with at home covid test negative 3 different times. Dr. ordered PCR and negative also. So othe cut off by CDC
Release 12 — day 7, dose 5
Systemic reaction (other): Runny nose and congested
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 | Asthenia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Rhinorrhoea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
| SRO | Rhinorrhoea | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release