2SL-11311-44138
5 vaccinations
5 coded responses
62 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 222 / VA
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-20
- 2021-02-21
- 2021-02-24
- 2021-03-01
- 2021-03-08
- 2021-03-15
-
2021-03-16
Dose 2 — Moderna
- 2021-03-16
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Pain — Feeling: Fair · Site: Pain, Redness · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Body ache is all lower back - that was a surprise.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-18
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Pain — Feeling: Fair · Muscle or body achesFree text: Body ache is foruces on lower back.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-04-13
- 2021-04-22
- 2021-04-27
- 2021-06-15
- 2021-09-14
-
2021-11-04
Dose 3 — Moderna
- 2021-11-06
- 2021-11-07
- 2021-11-08
- 2021-11-09
- 2021-11-11
- 2021-11-18
- 2021-11-25
- 2021-12-02
- 2021-12-10
- 2021-12-16
- 2022-02-03
-
2022-04-05
Dose 4 — Moderna
- 2022-04-07
-
2022-04-08
Survey response — days 1–6 daily, dose 4MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Fatigue or tirednessFree text: I had the 2nd Shingrix shot yesterday, so that may be a contributing factor.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-09
- 2022-04-10
- 2022-04-11
- 2022-04-12
- 2022-04-19
- 2022-04-26
- 2022-05-03
- 2022-05-10
- 2022-05-17
- 2022-07-05
-
2022-09-13
Dose 5 — Moderna
-
2022-09-14
Survey response — days 1–6 daily, dose 5MedDRA: Clumsiness, Heart rate increased — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Elevated heart rate as reported by fitness tracker averaging well above normal resting heart rate, peaking as high as 110 during sleep. Also, uncharacteristic clumsiness.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-17
- 2022-09-18
- 2022-09-19
- 2022-09-20
- 2022-09-27
-
2022-10-04
Survey response — day 21, dose 5MedDRA: Chills, Fatigue, Heart rate increased, Paranasal sinus discomfort, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: After getting flu shot yesterday, I've had low-grade fever, hours worth of chills, elevated heart rate, sinus pressure, overall fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-11
- 2022-10-18
- 2022-10-25
- 2022-12-13
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-16 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
| 4 | 2022-04-05 | Moderna | No |
| 5 | 2022-09-13 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Body ache is all lower back - that was a surprise.
Systemic reaction (other): Body ache is foruces on lower back.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I had the 2nd Shingrix shot yesterday, so that may be a contributing factor.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Elevated heart rate as reported by fitness tracker averaging well above normal resting heart rate, peaking as high as 110 during sleep. Also, uncharacteristic clumsiness.
Release 12 — day 21, dose 5
Symptoms: After getting flu shot yesterday, I've had low-grade fever, hours worth of chills, elevated heart rate, sinus pressure, overall fatigue.
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 |
|---|---|---|---|---|
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Heart rate increased | · | · | ✓ |
| SD | Paranasal sinus discomfort | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Clumsiness | · | · | ✓ |
| SRO | Heart rate increased | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release