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2T9-15431-86032

4 vaccinations 7 coded responses 27 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
602 / IL
Registered
2021-03-16
Relationship
Self
Race
Black or African American
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-16
    Registered in v-safe
  2. 2021-03-16
    Dose 1 — Moderna
  3. 2021-03-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  4. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache — Feeling: Poor · Headache · Be unable to do your normal daily activities
    Free text: Terrible headache in a zoom meeting I had to leave
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-23
    Survey response — day 7, dose 1
    MedDRA: Head discomfort — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Moment makes my head feel like its full of water.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-14
    Dose 2 — Moderna
  10. 2021-04-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  11. 2021-04-16
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-30
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-05
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-12
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-19
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-26
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-07-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-09-16
    Dose 3 — Moderna
  22. 2021-10-13
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-12-16
    Survey response — 3 months, dose 3
    MedDRA: Depressed mood, Psychiatric symptom — Feeling: Good
    Free text: Feeling depressed and lonely
    MedDRA releases: 2024-11 · check-in free text available
  24. 2022-04-24
    Dose 4 — Moderna
  25. 2022-05-14
    Survey response — day 14, dose 4
    MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend school
    Free text: With the 2nd booster Vascination and I did have a fever for two days..
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-05-15
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-24
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-29
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-06-05
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-07-24
    Survey response — 3 months, dose 4
    MedDRA: Pre-existing disease — Feeling: Good
    Free text: I think I'm dealing with vertigo but I had it before.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-10-23
    Survey response — 6 months, dose 4
    MedDRA: Body temperature decreased, Breast mass, Pre-existing disease, Sneezing — Feeling: Good · Be unable to do your normal daily activities
    Free text: Super bad allergies sneezing no temperature 98.4 but it made me relax and rest for a couple of days, couple of lumps in my breast since June 2022 having biopsies next week.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2023-04-24
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-16Moderna
22021-04-14Moderna
32021-09-16Moderna No
42022-04-24Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 1

2021-03-22

Systemic reaction (other): Terrible headache in a zoom meeting I had to leave

Release 6 — day 7, dose 1

2021-03-23

Systemic reaction (other): Moment makes my head feel like its full of water.

Release 10 — 3 months, dose 3

2021-12-16

Symptoms: Feeling depressed and lonely

Release 11 — day 14, dose 4

2022-05-14

Symptoms: With the 2nd booster Vascination and I did have a fever for two days..

Release 12 — 3 months, dose 4

2022-07-24

Symptoms: I think I'm dealing with vertigo but I had it before.

Release 12 — 6 months, dose 4

2022-10-23

Symptoms: Super bad allergies sneezing no temperature 98.4 but it made me relax and rest for a couple of days, couple of lumps in my breast since June 2022 having biopsies next week.

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
SDBody temperature decreased · · ✓
SDBreast mass · · ✓
SDDepressed mood · · ✓
SDPre-existing disease · · ✓
SDPsychiatric symptom · · ✓
SDPyrexia · · ✓
SDSneezing · · ✓
SROHead discomfort ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓

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