Z2Y-32494-52706
4 vaccinations
4 coded responses
35 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 331 / FL
- Registered
- 2021-01-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-17
Registered in v-safe
-
2021-01-17
Dose 1 — Moderna
- 2021-01-18
- 2021-01-19
- 2021-01-21
- 2021-01-22
- 2021-01-23
- 2021-01-24
-
2021-01-31
Survey response — day 14, dose 1MedDRA: Injection site erythema, Injection site pruritus — Feeling: GoodFree text: Arm red and very itchy at injection site. Began 8 days after the injection, lasted 2-3 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
-
2021-02-13
Dose 2 — Moderna
- 2021-02-21
- 2021-02-27
- 2021-03-06
- 2021-03-13
- 2021-03-20
- 2021-03-27
- 2021-05-15
-
2021-08-14
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Pain, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: GoodFree text: I had a cold. Runny nose, sneezing, body aches lasting several days. Because of current conditions, I did take a test for Covid-19 and it was negative.MedDRA releases: 2021-09,2024-11 · check-in free text available
-
2021-10-21
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · HeadacheAdult check-in
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pain, Pyrexia — Feeling: Good · Site: Redness, Swelling, ItchingFree text: The day after the injection I had chills, body aches, extreme fatigue, and a low grade fever in addition to pain at the injection site, redness, itching, and swelling. Those symptoms lasted 48-36 hours or so and then slowly dissipated.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-28
- 2021-11-08
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2022-01-20
- 2022-04-22
-
2022-05-05
Dose 4 — Moderna
- 2022-05-18
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-06-11
- 2022-06-16
-
2022-08-04
Survey response — 3 months, dose 4MedDRA: COVID-19, Chills, Cough, Pain, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree text: Covid-19. Chills. Body Aches. Coughing. Sneezing.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-03
- 2023-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-17 | Moderna | |
| 2 | 2021-02-13 | Moderna | |
| 3 | 2021-10-21 | Moderna | No |
| 4 | 2022-05-05 | Moderna | No |
Free text
Release 3 — day 14, dose 1
Symptoms: Arm red and very itchy at injection site. Began 8 days after the injection, lasted 2-3 days.
Release 9 — 6 months, dose 2
Symptoms: I had a cold. Runny nose, sneezing, body aches lasting several days. Because of current conditions, I did take a test for Covid-19 and it was negative.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day after the injection I had chills, body aches, extreme fatigue, and a low grade fever in addition to pain at the injection site, redness, itching, and swelling. Those symptoms lasted 48-36 hours or so and then slowly dissipated.
Release 12 — 3 months, dose 4
Symptoms: Covid-19. Chills. Body Aches. Coughing. Sneezing.
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 | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | ✓ | · | ✓ |
| SD | Pain | ✓ | · | ✓ |
| SD | Rhinorrhoea | ✓ | · | ✓ |
| SD | SARS-CoV-2 test negative | ✓ | · | ✓ |
| SD | Sneezing | ✓ | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release