2UQ-67627-08377
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 891 / NV
- Registered
- 2021-04-14
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-14
Registered in v-safe
-
2021-04-14
Dose 1 — Moderna
- 2021-04-14
-
2021-04-15
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Poor · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: I just don't feel good and the symptoms are the same as when I had Covid in January 2021. I really wish I wouldn't have gotten the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-16
- 2021-04-17
- 2021-04-19
- 2021-04-20
- 2021-04-21
- 2021-04-28
- 2021-05-05
-
2021-05-12
Dose 2 — Moderna
- 2021-05-12
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Vomiting · Be unable to do your normal daily activitiesAdult check-in
- 2021-05-14
- 2021-05-16
- 2021-05-17
- 2021-05-18
-
2021-05-19
Survey response — day 7, dose 2MedDRA: Rash — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Rash in my private area. Wasn't there before vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-26
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-08-11
- 2021-11-12
-
2022-05-14
Survey response — 12 months, dose 2MedDRA: Hypertension, Malaise, Mobility decreased, Nausea, Vomiting — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: My doctor give me rx for high blood pressure and I have been sick for 4 days. Nasuea and can't keep anything down. You know I don't know if this related to the COVID vaccine but I felt just fine and now I can hardly get aroundMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-14 | Moderna | |
| 2 | 2021-05-12 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): I just don't feel good and the symptoms are the same as when I had Covid in January 2021. I really wish I wouldn't have gotten the vaccine.
Release 8 — day 7, dose 2
Systemic reaction (other): Rash in my private area. Wasn't there before vaccination
Release 11 — 12 months, dose 2
Symptoms: My doctor give me rx for high blood pressure and I have been sick for 4 days. Nasuea and can't keep anything down. You know I don't know if this related to the COVID vaccine but I felt just fine and now I can hardly get around
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 | Hypertension | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Vomiting | · | · | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release