Y7D-31517-36061
3 vaccinations
4 coded responses
27 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 437 / OH
- Registered
- 2021-03-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Registered in v-safe
-
2021-03-12
Dose 1 — Moderna
-
2021-03-12
Survey response — day 0, dose 1MedDRA: Pain — Feeling: Good · Muscle or body achesFree text: Aches could be due to recent diet and exerciseMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-13
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Symptoms could be due to recent diet/workout program started 2 weeks agoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-14
- 2021-03-15
- 2021-03-16
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
-
2021-04-09
Dose 2 — Moderna
- 2021-04-10
- 2021-04-11
-
2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Fatigue or tirednessFree text: Took an hour or so for me to feel comfortable with my left hip, not sure if due to covid shot or if possible arthritis or just laid on it wrongMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
- 2021-04-15
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-16
- 2021-05-21
- 2021-07-11
-
2021-10-10
Survey response — 6 months, dose 2MedDRA: Malaise, Rash, Rash pruritic, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activitiesFree text: Was sick for a while but covid test was negative. Also got 1st shingles vaccine and had a bad reaction to it . sick 12 hours and itchy rash around arm for couple weejsMedDRA releases: 2024-11 · check-in free text available
-
2022-03-02
Dose 3 — Moderna
- 2022-04-10
- 2022-06-01
- 2022-08-31
- 2023-03-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna | |
| 3 | 2022-03-02 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Aches could be due to recent diet and exercise
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Symptoms could be due to recent diet/workout program started 2 weeks ago
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Took an hour or so for me to feel comfortable with my left hip, not sure if due to covid shot or if possible arthritis or just laid on it wrong
Release 10 — 6 months, dose 2
Symptoms: Was sick for a while but covid test was negative. Also got 1st shingles vaccine and had a bad reaction to it . sick 12 hours and itchy rash around arm for couple weejs
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 | Malaise | · | · | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Rash pruritic | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release