23S-13769-85844
1 vaccination
5 coded responses
8 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 379 / TN
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-30
Dose 1 — Moderna
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2021-04-02
Registered in v-safe
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Vomiting — Feeling: Fair · Site: Pain · Fever · Headache, NauseaFree text: On wed I was throwing up thurs a fever felt like I had the flu but I had Covid back n decMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, NauseaAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache, Rash — Feeling: Fair · Muscle or body achesFree text: My mom had a rash on her both her hands but she still has that headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Headache, Muscle or body achesFree text: My mom is feeling awful todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 7, dose 1MedDRA: Feeling abnormal, Headache — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, NauseaFree text: My mom still feel aweful headache stillMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 14, dose 1MedDRA: Hospitalisation, Influenza, Malaise, Pyrexia — Feeling: FairFree text: Fever off and on felt like. Had the flu just like right now I feel aweful To answer ur lady ? I had Covid back n nov/ dec was n the hospital for 5 days. Just went back to work on 3-16-21 4 hrs aday Im still on 4 hrs aday left me with a want lMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): On wed I was throwing up thurs a fever felt like I had the flu but I had Covid back n dec
Systemic reaction (other): My mom had a rash on her both her hands but she still has that headache
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): My mom is feeling awful today
Release 7 — day 7, dose 1
Systemic reaction (other): My mom still feel aweful headache still
Release 7 — day 14, dose 1
Symptoms: Fever off and on felt like. Had the flu just like right now I feel aweful To answer ur lady ? I had Covid back n nov/ dec was n the hospital for 5 days. Just went back to work on 3-16-21 4 hrs aday Im still on 4 hrs aday left me with a want l
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 | Hospitalisation | ✓ | ✓ | ✓ |
| SD | Influenza | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release