25H-29460-83228
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 284 / NC
- Registered
- 2021-03-17
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-17
Registered in v-safe
-
2021-03-17
Dose 1 — Moderna
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-24
-
2021-03-31
Survey response — day 14, dose 1MedDRA: Asthenia, Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Very tired, weak feeling, and headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-07
-
2021-04-14
Dose 2 — Moderna
- 2021-04-14
-
2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain upper, Chills, Dyspepsia, Fatigue, Pyrexia — Feeling: Fair · Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: The day after the shot was the worst, fever chills and very tired. I also had sever severe indigestion and my stomach is still very sore even to the touch but over all today has been my best day sense having the 2nd shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
-
2021-04-19
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Nausea, Vomiting, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesFree text: Going to see my dr. TomrMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-21
Survey response — day 7, dose 2MedDRA: Abdominal discomfort, Office visit — Feeling: Good · Abdominal painFree text: Seen my family dr. Yesterday, she did not feel my stomach discomfort was not related to the shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-29
- 2021-05-06
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-16
- 2021-10-15
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2022-04-15
Survey response — 12 months, dose 2MedDRA: Gait disturbance, Pain, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Shotting pain down my arms, legs and hands, mostly at night or when i first wake up. Difficulty walking when i first get out of bed. I really dont think it has to do with the shots but this came on a couple months ago and seems to be getting worse.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-17 | Moderna | |
| 2 | 2021-04-14 | Moderna |
Free text
Release 6 — day 14, dose 1
Symptoms: Very tired, weak feeling, and headache
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): The day after the shot was the worst, fever chills and very tired. I also had sever severe indigestion and my stomach is still very sore even to the touch but over all today has been my best day sense having the 2nd shot.
Systemic reaction (other): Going to see my dr. Tomr
Release 7 — day 7, dose 2
Systemic reaction (other): Seen my family dr. Yesterday, she did not feel my stomach discomfort was not related to the shot.
Release 11 — 12 months, dose 2
Symptoms: Shotting pain down my arms, legs and hands, mostly at night or when i first wake up. Difficulty walking when i first get out of bed. I really dont think it has to do with the shots but this came on a couple months ago and seems to be getting worse. cut off by CDC
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Office visit | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release