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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

  1. 2021-01-17
    Registered in v-safe
  2. 2021-01-17
    Dose 1 — Moderna
  3. 2021-01-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-24
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-31
    Survey response — day 14, dose 1
    MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good
    Free 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
  10. 2021-02-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-02-13
    Dose 2 — Moderna
  12. 2021-02-21
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-02-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-03-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-03-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-03-27
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-08-14
    Survey response — 6 months, dose 2
    MedDRA: Nasopharyngitis, Pain, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Good
    Free 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
  20. 2021-10-21
    Dose 3 — Moderna
  21. 2021-10-26
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness, Swelling, Itching · Headache
    Adult check-in
  22. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chills, Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Injection site swelling, Pain, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching
    Free 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
  23. 2021-10-28
    Health check-in — day 7, dose 3
    Feeling: Good · Site: Swelling, Itching · None
    Adult check-in
  24. 2021-11-08
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  25. 2021-11-11
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-18
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-25
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-02
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  29. 2022-01-20
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-04-22
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-05-05
    Dose 4 — Moderna
  32. 2022-05-18
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  33. 2022-05-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  34. 2022-05-26
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-06-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-06-11
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-06-16
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-08-04
    Survey response — 3 months, dose 4
    MedDRA: COVID-19, Chills, Cough, Pain, Sneezing — Feeling: Good · Be unable to do your normal daily activities
    Free text: Covid-19. Chills. Body Aches. Coughing. Sneezing.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2022-11-03
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  40. 2023-05-05
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-17Moderna
22021-02-13Moderna
32021-10-21Moderna No
42022-05-05Moderna No

Free text

Release 3 — day 14, dose 1

2021-01-31

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

2021-08-14

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

2021-10-27

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

2022-08-04

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

FieldPreferred term2021-092023-042024-11
SDChills · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDInjection site erythema ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDNasopharyngitis ✓ · ✓
SDPain ✓ · ✓
SDRhinorrhoea ✓ · ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDSneezing ✓ · ✓
SROChills · · ✓
SROFatigue · · ✓
SROInjection site erythema · · ✓
SROInjection site pain · · ✓
SROInjection site pruritus · · ✓
SROInjection site swelling · · ✓
SROPain · · ✓
SROPyrexia · · ✓

✓ active code · ○ coded but marked inactive · blank = not in that release