Y4F-31086-67068
5 vaccinations
9 coded responses
60 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 222 / VA
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
-
2021-03-30
Survey response — day 0, dose 1MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Soreness around injection siteMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-31
-
2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Headache, Injection site pain — Feeling: GoodFree text: Terrible headache last night along with chills and soreness at injection site. Headache began around 4-5:00 pm and got increasingly worse. I went to bed around 9:00 pm and all side effects were gone by 7:00 a.m. Very minor injection site soreness was gone by noon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
-
2021-04-29
Dose 2 — Moderna
-
2021-04-30
Survey response — days 1–6 daily, dose 2MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Soreness in upper injection armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-01
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness — Feeling: GoodFree text: Dizziness; not sure if related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-09
- 2021-05-15
- 2021-05-20
- 2021-05-27
- 2021-06-03
- 2021-06-10
- 2021-07-29
- 2021-10-30
-
2021-11-16
Dose 3 — Moderna
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Injection site discomfort — Feeling: Good · Site: PainFree text: Injection site is sore, not necessarily in pain.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-18
- 2021-11-19
- 2021-11-21
- 2021-11-22
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-02-15
- 2022-05-19
-
2022-05-26
Dose 4 — Moderna
- 2022-05-31
- 2022-06-01
-
2022-06-02
Survey response — day 7, dose 4MedDRA: Injection site bruising — Feeling: GoodFree text: Bruise at injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-06-12
- 2022-06-18
- 2022-06-23
- 2022-06-30
- 2022-07-07
- 2022-08-27
-
2022-11-26
Survey response — 6 months, dose 4MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activitiesFree text: Contracted CovidMedDRA releases: 2024-11 · check-in free text available
-
2022-12-01
Dose 5 — Pfizer-BioNTech
- 2022-12-03
-
2022-12-04
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: Pain, ItchingFree text: Soreness at the injection siteMedDRA releases: 2024-11 · check-in free text available
- 2022-12-05
- 2022-12-06
- 2022-12-10
- 2022-12-15
- 2022-12-24
-
2022-12-29
Survey response — day 28, dose 5MedDRA: Headache — Feeling: GoodFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2023-01-05
- 2023-01-12
- 2023-03-02
- 2023-06-03
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-29 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-05-26 | Moderna | No |
| 5 | 2022-12-01 | Pfizer-BioNTech | No |
Free text
Release 6 — day 0, dose 1
Systemic reaction (other): Soreness around injection site
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Terrible headache last night along with chills and soreness at injection site. Headache began around 4-5:00 pm and got increasingly worse. I went to bed around 9:00 pm and all side effects were gone by 7:00 a.m. Very minor injection site soreness was gone by noon.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Soreness in upper injection arm
Systemic reaction (other): Dizziness; not sure if related to vaccine.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Injection site is sore, not necessarily in pain.
Release 11 — day 7, dose 4
Systemic reaction (other): Bruise at injection site
Release 12 — 6 months, dose 4
Symptoms: Contracted Covid
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Soreness at the injection site
Release 12 — day 28, dose 5
Symptoms: Headaches
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 | Headache | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | · | · | ✓ |
| SRO | Injection site discomfort | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release