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2U9-27126-51390

2 vaccinations 6 coded responses 14 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
245 / VA
Registered
2021-02-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-01
    Registered in v-safe
  3. 2021-02-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Malaise, Nausea — Feeling: Fair · Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: I started feeling really ill about 24 hours of the shot. I had the worst headache I ever experienced, like somebody crushing my skull. I was very tired and extremely nauseous.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Nausea — Feeling: Fair · Nausea
    Free text: Little nausea which might come from a UTI that I developed while shot was as given. But did not know.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Nausea
    Free text: Might be from uti
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-12
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  8. 2021-02-21
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-02-26
    Dose 2 — Moderna
  10. 2021-02-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache — Feeling: Fair · Site: Pain · Headache · Be unable to do your normal daily activities
    Free text: Headache is immense
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Nausea
    Adult check-in
  13. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-12
    Survey response — day 14, dose 2
    MedDRA: Panic attack — Feeling: Fair
    Free text: I have had panic attacks a lot. Dont know if that is a general pandemic issues.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-19
    Survey response — day 21, dose 2
    MedDRA: Panic attack — Feeling: Fair
    Free text: Panic attacks. But again. Maybe related to pandemic in general
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2022-02-26
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna

Free text

Release 3 — days 1–6 daily, dose 1

2021-02-01

Systemic reaction (other): I started feeling really ill about 24 hours of the shot. I had the worst headache I ever experienced, like somebody crushing my skull. I was very tired and extremely nauseous.

2021-02-03

Systemic reaction (other): Little nausea which might come from a UTI that I developed while shot was as given. But did not know.

2021-02-04

Systemic reaction (other): Might be from uti

Release 4 — days 1–6 daily, dose 2

2021-02-28

Systemic reaction (other): Headache is immense

Release 5 — day 14, dose 2

2021-03-12

Symptoms: I have had panic attacks a lot. Dont know if that is a general pandemic issues.

Release 5 — day 21, dose 2

2021-03-19

Symptoms: Panic attacks. But again. Maybe related to pandemic in general

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
SDPanic attack ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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