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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

  1. 2021-03-30
    Dose 1 — Moderna
  2. 2021-04-02
    Registered in v-safe
  3. 2021-04-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Vomiting — Feeling: Fair · Site: Pain · Fever · Headache, Nausea
    Free text: On wed I was throwing up thurs a fever felt like I had the flu but I had Covid back n dec
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Nausea
    Adult check-in
  5. 2021-04-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Rash — Feeling: Fair · Muscle or body aches
    Free text: My mom had a rash on her both her hands but she still has that headache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Headache, Muscle or body aches
    Free text: My mom is feeling awful today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-06
    Survey response — day 7, dose 1
    MedDRA: Feeling abnormal, Headache — Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Free text: My mom still feel aweful headache still
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-13
    Survey response — day 14, dose 1
    MedDRA: Hospitalisation, Influenza, Malaise, Pyrexia — Feeling: Fair
    Free 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 l
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-22
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-27
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-30Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-04-02

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

2021-04-04

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

2021-04-05

Systemic reaction (other): My mom is feeling awful today

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): My mom still feel aweful headache still

Release 7 — day 14, dose 1

2021-04-13

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

FieldPreferred term2021-092023-042024-11
SDHospitalisation ✓ ✓ ✓
SDInfluenza ✓ ✓ ✓
SDMalaise ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROFeeling abnormal · · ✓
SROHeadache ✓ ✓ ✓
SRORash ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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