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2Q6-21665-74214

2 vaccinations 4 coded responses 22 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
320 / FL
Registered
2021-01-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-19
    Registered in v-safe
  2. 2021-01-19
    Dose 1 — Moderna
  3. 2021-01-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-26
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-02
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  8. 2021-02-09
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-16
    Dose 2 — Moderna
  10. 2021-02-16
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache · Be unable to do your normal daily activities
    Adult check-in
  12. 2021-02-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain
    Free text: CONCERNED THAT I HAVE NOT HAD ANY SYMPTOMS. MY HUSBAND TOO! HOW CAN WE BE CERTAIN OUR VILE DIDNT EXPIRE. THE REASON I SM ASKING IS BECAUSE IT Ws a little chaotic at the (b)(6) countywhere git rhe shot and the nusre took a double look at my vile like she wasnt sure it was ok!! We are both in our seventies. Neither one of us had one after symptom. We are just a little concerned.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  14. 2021-02-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache, Diarrhea
    Adult check-in
  15. 2021-02-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  16. 2021-02-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-23
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-03-02
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Musculoskeletal pain, Painful respiration — Feeling: Fair
    Free text: Pain in right shoulder blade . Pain when i took deep breath and when trying to sleep. Lasted for a couple of days. And feeling fatigued. The exact thing happened to my husband!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-09
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-03-16
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Pain — Feeling: Poor
    Free text: BODY PAIN AND FATIGUE!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-23
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-03-30
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-19
    Survey response — 3 months, dose 2
    MedDRA: Nasopharyngitis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Bad cold. THINK I HAD RSV. GRANDKIDS HAD IT!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-08-17
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  25. 2022-02-16
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-19Moderna
22021-02-16Moderna

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-18

Systemic reaction (other): CONCERNED THAT I HAVE NOT HAD ANY SYMPTOMS. MY HUSBAND TOO! HOW CAN WE BE CERTAIN OUR VILE DIDNT EXPIRE. THE REASON I SM ASKING IS BECAUSE IT Ws a little chaotic at the (b)(6) countywhere git rhe shot and the nusre took a double look at my vile like she wasnt sure it was ok!! We are both in our seventies. Neither one of us had one after symptom. We are just a little concerned.
redacted (b)(6)

Release 4 — day 14, dose 2

2021-03-02

Symptoms: Pain in right shoulder blade . Pain when i took deep breath and when trying to sleep. Lasted for a couple of days. And feeling fatigued. The exact thing happened to my husband!

Release 5 — day 28, dose 2

2021-03-16

Symptoms: BODY PAIN AND FATIGUE!!

Release 8 — 3 months, dose 2

2021-05-19

Symptoms: Bad cold. THINK I HAD RSV. GRANDKIDS HAD IT!!

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
SDFatigue ✓ ✓ ✓
SDMusculoskeletal pain ✓ ✓ ✓
SDNasopharyngitis ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPainful respiration ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ○ ○ ○

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