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2WP-25773-60176

1 vaccination 6 coded responses 12 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
051 / VT
Registered
2021-03-24
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-22
    Dose 1 — Moderna
  2. 2021-03-24
    Registered in v-safe
  3. 2021-03-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness, Diarrhea
    Free text: Just exhausted
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Feeling abnormal, Malaise, Nasopharyngitis — Feeling: Fair · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lightheaded. Feeling not myself. Cold not feeling to well
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Fatigue, Headache, Rhinorrhoea — Feeling: Fair · Headache, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activities
    Free text: Still feel light headed was off and on. Tired. Runny nose Head hurts off and on. Runny nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-29
    Survey response — day 7, dose 1
    MedDRA: Dizziness, Urticaria — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Lightheadness still there. Just less Hives have gone.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-05
    Survey response — day 14, dose 1
    MedDRA: Condition aggravated, Dizziness, Fatigue, Feeling abnormal, Pre-existing disease, Thyroid disorder, Urticaria — Feeling: Fair · Be unable to do your normal daily activities
    Free text: After my vaccination I have developed brain fog off and on and somelightheadness. I had hives for a week or so after. Lessened as time went on. My tsh also went up from 0.67 to almost 5.0 I am very tired as well
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-12
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-19
    Health check-in — day 28, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-04-26
    Health check-in — day 35, dose 1
    Feeling: Fair
    Adult check-in
  12. 2021-05-04
    Survey response — day 42, dose 1
    MedDRA: Pain in extremity — Feeling: Fair
    Free text: My legs still hurt since vaccine. Some days they are better then it comes back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-09-20
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2022-03-22
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-25

Systemic reaction (other): Just exhausted

2021-03-27

Systemic reaction (other): Lightheaded. Feeling not myself. Cold not feeling to well

2021-03-28

Systemic reaction (other): Still feel light headed was off and on. Tired. Runny nose Head hurts off and on. Runny nose

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Lightheadness still there. Just less Hives have gone.

Release 6 — day 14, dose 1

2021-04-05

Symptoms: After my vaccination I have developed brain fog off and on and somelightheadness. I had hives for a week or so after. Lessened as time went on. My tsh also went up from 0.67 to almost 5.0 I am very tired as well

Release 8 — day 42, dose 1

2021-05-04

Symptoms: My legs still hurt since vaccine. Some days they are better then it comes back

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
SDCondition aggravated ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDPain in extremity ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SDThyroid disorder ✓ ✓ ✓
SDUrticaria ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROFeeling abnormal ✓ · ✓
SROHeadache ✓ ✓ ✓
SROMalaise ✓ · ✓
SRONasopharyngitis ✓ · ✓
SRORhinorrhoea ✓ ✓ ✓
SROUrticaria ✓ ✓ ✓

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