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2A2-29938-28952

2 vaccinations 5 coded responses 24 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
530 / WI
Registered
2021-02-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-11
    Registered in v-safe
  3. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site reaction, Myalgia — Feeling: Good · Muscle or body aches
    Free text: Just achy muscle where the shot was administered
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Head discomfort, Headache, Somnolence — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Slept for about an hour this afternoon. Woke up and the full headache was better as was the fullness I felt in my head. I think this had been building the past few days. Hoping I continue to feel normal moving forward! Nothing major at all.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Feeling abnormal — Feeling: Fair · Headache, Fatigue or tiredness
    Free text: I again slept for about 2 hours. Feeling a bit better, but just not quite myself. My energy level is not up to what is normal for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness
    Adult check-in
  9. 2021-02-17
    Survey response — day 7, dose 1
    MedDRA: Sinus disorder — Feeling: Fair · Headache
    Free text: I am scheduled for a COVID test tomorrow. My sinuses are bothering me and they want to rule out COVID before I can be seen.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Survey response — day 14, dose 1
    MedDRA: Office visit, SARS-CoV-2 test negative, Sinusitis — Feeling: Good · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: I had a negative COVID test result on Saturday, but saw a doctor on Monday to determine I had a sinus infection. So, even though I was feeling much worse, it was not due to COVID 19.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-24
    Report sent to call center — day 14, dose 1
    Get care from a doctor or other healthcare professional
    1 call case(s)
  12. 2021-03-03
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-10
    Dose 2 — Moderna
  14. 2021-03-10
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-03-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  20. 2021-03-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-03-17
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  22. 2021-03-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-31
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-04-07
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-14
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-04-21
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-06-09
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-09-01
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)
  29. 2021-09-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna
22021-03-10Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-11

Systemic reaction (other): Just achy muscle where the shot was administered

2021-02-13

Systemic reaction (other): Slept for about an hour this afternoon. Woke up and the full headache was better as was the fullness I felt in my head. I think this had been building the past few days. Hoping I continue to feel normal moving forward! Nothing major at all.

2021-02-15

Systemic reaction (other): I again slept for about 2 hours. Feeling a bit better, but just not quite myself. My energy level is not up to what is normal for me.

Release 4 — day 7, dose 1

2021-02-17

Systemic reaction (other): I am scheduled for a COVID test tomorrow. My sinuses are bothering me and they want to rule out COVID before I can be seen.

Release 4 — day 14, dose 1

2021-02-24

Symptoms: I had a negative COVID test result on Saturday, but saw a doctor on Monday to determine I had a sinus infection. So, even though I was feeling much worse, it was not due to COVID 19.

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
SDOffice visit ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ ✓ ✓
SDSinusitis ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site reaction ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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