YQG-41849-15565
5 vaccinations
8 coded responses
60 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 465 / IN
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
-
2021-01-27
Dose 1 — Moderna
- 2021-01-27
- 2021-01-28
- 2021-01-29
- 2021-01-31
- 2021-02-01
- 2021-02-02
-
2021-02-03
Survey response — day 7, dose 1MedDRA: Nasal congestion, Oropharyngeal pain — Feeling: Fair · Site: Pain · Fever · Headache, Joint painsFree text: Stuffy nose and mild sore throatMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-10
- 2021-02-17
- 2021-02-24
-
2021-02-26
Dose 2 — Moderna
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-05-28
- 2021-08-27
-
2021-10-29
Dose 3 — Moderna
-
2021-10-29
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: GoodFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
-
2021-11-02
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Nasopharyngitis, Unevaluable event — Feeling: GoodFree text: Cold like symptoms; hires ness and slight coughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-03
-
2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: Fair · FeverFree text: Cold symptoms and coughMedDRA releases: 2024-11 · check-in free text available
-
2021-11-05
Survey response — day 7, dose 3MedDRA: Cough, Nasopharyngitis — Feeling: GoodFree text: Cold and coughMedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-19
- 2021-11-26
- 2021-12-05
- 2021-12-10
- 2022-01-28
- 2022-04-29
-
2022-05-03
Dose 4 — Moderna
- 2022-05-04
-
2022-05-05
Survey response — days 1–6 daily, dose 4MedDRA: Swelling — Feeling: Good · Site: Pain, SwellingFree text: Never had any swelling before with any other Covid vaccine. Dk if it was the person doing the innoculation or the 4th shotMedDRA releases: 2024-11 · check-in free text available
- 2022-05-06
- 2022-05-07
- 2022-05-08
- 2022-05-09
- 2022-05-10
- 2022-05-17
- 2022-05-24
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-08-02
-
2022-10-05
Dose 5 — Moderna
-
2022-10-12
Survey response — day 7, dose 5MedDRA: Adverse reaction, Pain, Pyrexia, Self-medication — Feeling: GoodFree text: I didn't get a v check when I got my vaccine. I got a reaction on this , my new 5th booster. Approximately 10 hours after my vaccine I had a fever of 101 and was achy all over. I took a Tylenol and didn't feel much better. TMedDRA releases: 2024-11 · check-in free text available
- 2022-10-19
- 2022-10-26
- 2022-11-02
- 2022-11-09
- 2022-11-18
-
2023-01-04
Survey response — 3 months, dose 5MedDRA: Foot operation, SARS-CoV-2 test negative — Feeling: GoodMedDRA releases: 2024-11
- 2023-04-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-26 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-03 | Moderna | No |
| 5 | 2022-10-05 | Moderna | No |
Free text
Release 3 — day 7, dose 1
Systemic reaction (other): Stuffy nose and mild sore throat
Release 10 — day 0, dose 3
Systemic reaction (other): No
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Cold like symptoms; hires ness and slight cough
Systemic reaction (other): Cold symptoms and cough
Release 10 — day 7, dose 3
Systemic reaction (other): Cold and cough
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Never had any swelling before with any other Covid vaccine. Dk if it was the person doing the innoculation or the 4th shot
Release 12 — day 7, dose 5
Systemic reaction (other): I didn't get a v check when I got my vaccine. I got a reaction on this , my new 5th booster. Approximately 10 hours after my vaccine I had a fever of 101 and was achy all over. I took a Tylenol and didn't feel much better. T
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 | Foot operation | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Cough | · | · | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Nasopharyngitis | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Swelling | · | · | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release