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29H-17401-09068

2 vaccinations 7 coded responses 20 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
806 / CO
Registered
2021-02-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-12
    Dose 1 — Moderna
  2. 2021-02-13
    Registered in v-safe
  3. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pyrexia — Feeling: Good · Site: Pain, Swelling · Fever · Chills, Joint pains, Muscle or body aches, Abdominal pain
    Free text: Ran fever in the night. Im better today. I normally never have symptoms with any vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast pain, Neck pain, Pain in extremity — Feeling: Good · Site: Swelling · Muscle or body aches
    Free text: Under my left arm and my left breast aches. Also my left side of my neck hurts.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Night sweats — Feeling: Good · Fever · Chills
    Free text: Woke up in the night sweating. My clothes and bed were drenched.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  7. 2021-02-20
    Survey response — day 7, dose 1
    MedDRA: Feeling hot, Malaise — Feeling: Good · Fever · Chills
    Free text: Not chills so much but I feel like i have a fever. I was 98.1 but havent felt "well".
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-26
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-12
    Dose 2 — Moderna
  11. 2021-03-12
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  12. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling cold — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Free text: I got cold last night. Like i was freezing.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Rhinorrhoea — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Free text: Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  15. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tiredness
    Adult check-in
  16. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  17. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness, Diarrhea
    Adult check-in
  18. 2021-03-19
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  19. 2021-03-28
    Survey response — day 14, dose 2
    MedDRA: Back pain, Fatigue, Headache — Feeling: Good
    Free text: My back will occassionally hurt. Minor headaches and tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-07
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-15
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-12Moderna
22021-03-12Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-13

Systemic reaction (other): Ran fever in the night. Im better today. I normally never have symptoms with any vaccine.

2021-02-14

Systemic reaction (other): Under my left arm and my left breast aches. Also my left side of my neck hurts.

2021-02-16

Systemic reaction (other): Woke up in the night sweating. My clothes and bed were drenched.

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Not chills so much but I feel like i have a fever. I was 98.1 but havent felt "well".

Release 5 — days 1–6 daily, dose 2

2021-03-13

Systemic reaction (other): I got cold last night. Like i was freezing.

2021-03-14

Systemic reaction (other): Runny nose

Release 6 — day 14, dose 2

2021-03-28

Symptoms: My back will occassionally hurt. Minor headaches and tired.

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
SDBack pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SROBreast pain ✓ ✓ ✓
SROFeeling cold ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONeck pain ✓ ✓ ✓
SRONight sweats ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓

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

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