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
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-19
Survey response — days 1–6 daily, dose 1MedDRA: No adverse event — Feeling: GoodFree text: NoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-20
Health check-in — days 1–6 daily, dose 1Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-22
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Poor · Headache · Be unable to do your normal daily activitiesFree text: Terrible headache in a zoom meeting I had to leaveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-23
Survey response — day 7, dose 1MedDRA: Head discomfort — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Moment makes my head feel like its full of water.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
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2021-04-14
Dose 2 — Moderna
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-22
- 2021-04-30
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-07-14
-
2021-09-16
Dose 3 — Moderna
- 2021-10-13
-
2021-12-16
Survey response — 3 months, dose 3MedDRA: Depressed mood, Psychiatric symptom — Feeling: GoodFree text: Feeling depressed and lonelyMedDRA releases: 2024-11 · check-in free text available
-
2022-04-24
Dose 4 — Moderna
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2022-05-14
Survey response — day 14, dose 4MedDRA: Pyrexia — Feeling: Good · Be unable to work or attend schoolFree text: With the 2nd booster Vascination and I did have a fever for two days..MedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
- 2022-05-24
- 2022-05-29
- 2022-06-05
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2022-07-24
Survey response — 3 months, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: I think I'm dealing with vertigo but I had it before.MedDRA releases: 2024-11 · check-in free text available
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2022-10-23
Survey response — 6 months, dose 4MedDRA: Body temperature decreased, Breast mass, Pre-existing disease, Sneezing — Feeling: Good · Be unable to do your normal daily activitiesFree 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
- 2023-04-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-14 | Moderna | |
| 3 | 2021-09-16 | Moderna | No |
| 4 | 2022-04-24 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): None
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Terrible headache in a zoom meeting I had to leave
Release 6 — day 7, dose 1
Systemic reaction (other): Moment makes my head feel like its full of water.
Release 10 — 3 months, dose 3
Symptoms: Feeling depressed and lonely
Release 11 — day 14, dose 4
Symptoms: With the 2nd booster Vascination and I did have a fever for two days..
Release 12 — 3 months, dose 4
Symptoms: I think I'm dealing with vertigo but I had it before.
Release 12 — 6 months, dose 4
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Body temperature decreased | · | · | ✓ |
| SD | Breast mass | · | · | ✓ |
| SD | Depressed mood | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Psychiatric symptom | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Head discomfort | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release