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2JD-22858-74061

2 vaccinations 5 coded responses 9 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
038 / NH
Registered
2021-01-28
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-26
    Dose 1 — Moderna
  2. 2021-01-28
    Registered in v-safe
  3. 2021-01-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  4. 2021-01-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-30
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nausea, Pain, Pre-existing disease — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Little nausea but I have other GI issues anyway. Also have Fibromyalgia so the body aches can be from that.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain — Feeling: Fair · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Although i have pains I do not think they are from the vaccine i think they are from my other health issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-02
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Muscle or body aches, Diarrhea · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-02-11
    Survey response — day 14, dose 1
    MedDRA: Abdominal pain upper, Fatigue, Lymphadenopathy, Medical counselling, Migraine — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Enlarged lymphnode in neck, migraine, fatigue, stomach pains above the normal for my health conditions. As for the below I do not work due to disabilities and I did call my physician upon finding the lymphnode whichnappeard 8 days after the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-24
    Dose 2 — Moderna
  11. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Fatigue, Feeling abnormal — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have these symptoms normally but feel odd today. Feel a bit foggy and dizzy and very fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-03
    Survey response — day 7, dose 2
    MedDRA: Burning sensation, Palpitations — Feeling: Fair · Headache, Joint pains, Abdominal pain · Be unable to do your normal daily activities
    Free text: Racing heart beat, rash burning feeling on back but no rash.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-01-26Moderna
22021-02-24Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-31

Systemic reaction (other): Little nausea but I have other GI issues anyway. Also have Fibromyalgia so the body aches can be from that.

2021-02-01

Systemic reaction (other): Although i have pains I do not think they are from the vaccine i think they are from my other health issues.

Release 4 — day 14, dose 1

2021-02-11

Symptoms: Enlarged lymphnode in neck, migraine, fatigue, stomach pains above the normal for my health conditions. As for the below I do not work due to disabilities and I did call my physician upon finding the lymphnode whichnappeard 8 days after the vaccine. cut off by CDC

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): I have these symptoms normally but feel odd today. Feel a bit foggy and dizzy and very fatigue.

Release 5 — day 7, dose 2

2021-03-03

Systemic reaction (other): Racing heart beat, rash burning feeling on back but no rash.

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
SDAbdominal pain upper ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDLymphadenopathy ✓ ✓ ✓
SDMedical counselling ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SROBurning sensation ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPalpitations ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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