2A4-30400-14599
5 vaccinations
13 coded responses
67 check-ins
13 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 201 / VA
- Registered
- 2021-02-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-28
Registered in v-safe
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2021-02-28
Dose 1 — Moderna
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2021-02-28
Survey response — day 0, dose 1MedDRA: Fatigue, Insomnia — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I was tired this morning, did not sleep well so not the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-01
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-04
- 2021-03-05
- 2021-03-06
- 2021-03-07
- 2021-03-14
- 2021-03-21
- 2021-03-28
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2021-03-29
Dose 2 — Moderna
- 2021-03-29
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2021-03-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Nasal congestion, Pre-existing disease, Sinus pain — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: Sinus pain and nasal congestion, high pollen count in areaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Sinus congestion; pollen count medium highMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Sinus congestion, medium high pollenMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Sinus pain — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessFree text: Sinus pain, pollen at medium-highMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Sinus congestion — Feeling: Fair · Site: Itching · Muscle or body aches, Fatigue or tirednessFree text: Sinus congestion, high pollen todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — day 7, dose 2MedDRA: Sinus congestion — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Sinus congestion; high pollen countMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-05-03
- 2021-05-10
- 2021-06-28
- 2021-09-29
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2021-10-29
Dose 3 — Moderna
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2021-10-29
Health check-in — day 0, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-10-31
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-03
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-04
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-05
Health check-in — day 7, dose 3Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
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2022-04-12
Dose 4 — Moderna
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2022-04-12
Health check-in — day 0, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-04-13
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-14
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-15
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-16
- 2022-04-17
- 2022-04-18
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2022-04-19
Health check-in — day 7, dose 4Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-05-24
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2022-07-12
Survey response — 3 months, dose 4MedDRA: Arthralgia, Office visit — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professionalFree text: Symptoms: Pain in both hips · Healthcare visit (other): Clinic visit with PAMedDRA releases: 2024-11 · check-in free text available
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2022-07-12
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2022-07-13
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2022-07-15
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
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2022-10-07
Dose 5 — ModernaCo-administered: Flu
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2022-10-09
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-10-10
Survey response — days 1–6 daily, dose 5MedDRA: Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: The arm where I received the Flu shot hurts moreMedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-10-12
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body achesAdult check-in
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2022-10-13
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-14
- 2022-10-21
- 2022-10-28
- 2022-11-04
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2022-11-11
Survey response — day 35, dose 5MedDRA: Arthralgia, Chills, Fatigue, Headache, Myalgia, Nausea, SARS-CoV-2 test negative — Feeling: Fair · Be unable to do your normal daily activitiesFree text: 11/7 thru 11/10, I experienced fatigue, muscle and joint aches and pains, chills, headaches and some nausea. I tested for Covid 11/8 and 11/10 and results were negative.MedDRA releases: 2024-11 · check-in free text available
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2022-11-18
Survey response — day 42, dose 5MedDRA: Sinus disorder, Viral infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus virusMedDRA releases: 2024-11 · check-in free text available
- 2023-01-06
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-28 | Moderna | |
| 2 | 2021-03-29 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-04-12 | Moderna | No |
| 5 | 2022-10-07 | Moderna | Flu |
Call center
1 call center case
1 successful
Free text
Release 4 — day 0, dose 1
Systemic reaction (other): I was tired this morning, did not sleep well so not the vaccine
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): No
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Sinus pain and nasal congestion, high pollen count in area
Systemic reaction (other): Sinus congestion; pollen count medium high
Systemic reaction (other): Sinus congestion, medium high pollen
Systemic reaction (other): Sinus pain, pollen at medium-high
Systemic reaction (other): Sinus congestion, high pollen today
Release 6 — day 7, dose 2
Systemic reaction (other): Sinus congestion; high pollen count
Release 12 — 3 months, dose 4
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): No
Systemic reaction (other): The arm where I received the Flu shot hurts more
Release 12 — day 35, dose 5
Symptoms: 11/7 thru 11/10, I experienced fatigue, muscle and joint aches and pains, chills, headaches and some nausea. I tested for Covid 11/8 and 11/10 and results were negative.
Release 12 — day 42, dose 5
Symptoms: Sinus virus
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Arthralgia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Viral infection | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ○ |
| SRO | Sinus congestion | ✓ | ✓ | ✓ |
| SRO | Sinus pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release