2TY-13334-70559
4 vaccinations
3 coded responses
41 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 230 / VA
- Registered
- 2021-02-22
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Dose 1 — Moderna
-
2021-02-22
Registered in v-safe
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2021-02-22
Survey response — day 7, dose 1MedDRA: Chills, Fatigue, Listless, Somnolence — Feeling: Good · Site: Redness, Swelling, ItchingFree text: 2days ago after walking an hour w/ no issues, began to feel listless, chilled, tired & laid down (I am not a nap taker) slept 2 hrs. Felt fine, ate dinner & slept 20 hrs. Also last night with no symptoms, slept 10 1/2 hrs. (Again, I usually sleep 7-8 hrs / night)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-26
- 2021-03-05
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2021-03-12
Dose 2 — Moderna
- 2021-03-12
- 2021-03-13
-
2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Swelling, Itching · NoneAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
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2021-10-27
Dose 3 — Moderna
- 2021-10-28
- 2021-10-29
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling · NoneAdult check-in
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Blood iron decreased, Office visit — Feeling: Good · Site: Redness, Swelling, ItchingFree text: The day after my booster, 10/28/21, I was turned down when I tried to donate blood. My iron level was 11.4 & 12.5 was needed. My iron level in June 2021 at my annual physical was 13.8. I donate every 8 wks. This is the 1st time I have had an issue doMedDRA releases: 2024-11 · check-in free text available
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2021-11-01
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
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2021-11-02
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Redness, Itching · NoneAdult check-in
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
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2022-04-13
Dose 4 — Moderna
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2022-04-19
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
-
2022-04-20
Health check-in — day 7, dose 4Feeling: Good · Site: Redness, Swelling, Itching · NoneAdult check-in
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-07-13
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2022-10-12
Survey response — 6 months, dose 4MedDRA: Pre-existing disease — Feeling: GoodFree text: Basal cell carcinoma, melanoma, high LDL cholesterol, enlarged thyroid/goiterMedDRA releases: 2024-11 · check-in free text available
- 2023-04-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-13 | Moderna | No |
Free text
Release 4 — day 7, dose 1
Systemic reaction (other): 2days ago after walking an hour w/ no issues, began to feel listless, chilled, tired & laid down (I am not a nap taker) slept 2 hrs. Felt fine, ate dinner & slept 20 hrs. Also last night with no symptoms, slept 10 1/2 hrs. (Again, I usually sleep 7-8 hrs / night)
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): The day after my booster, 10/28/21, I was turned down when I tried to donate blood. My iron level was 11.4 & 12.5 was needed. My iron level in June 2021 at my annual physical was 13.8. I donate every 8 wks. This is the 1st time I have had an issue do cut off by CDC
Release 12 — 6 months, dose 4
Symptoms: Basal cell carcinoma, melanoma, high LDL cholesterol, enlarged thyroid/goiter
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 | Pre-existing disease | · | · | ✓ |
| SRO | Blood iron decreased | · | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Listless | ✓ | ✓ | ✓ |
| SRO | Office visit | · | · | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release