2WQ-31903-34718
2 vaccinations
5 coded responses
24 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 028 / RI
- Registered
- 2021-04-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Registered in v-safe
-
2021-04-06
Dose 1 — Moderna
- 2021-04-06
-
2021-04-07
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness, Vomiting — Feeling: Fair · Site: Itching · Fatigue or tiredness, Nausea, Vomiting · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Dizziness, felt better after I vomited. As day went on I felt like the symptoms became mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 1MedDRA: Pruritus — Feeling: Fair · Headache, NauseaFree text: Itchy skin arms & legsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
- 2021-04-12
- 2021-04-13
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2021-04-22
Survey response — day 14, dose 1MedDRA: Headache — Feeling: GoodFree text: Periodically I get headaches that feel like the same headache as when I had covid and the vaccine, however, they are no where near as severe. More of a nuisance.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-27
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2021-05-04
Dose 2 — Moderna
- 2021-05-04
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2021-05-05
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-05-06
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · Site: Pain · HeadacheFree text: Headache went away shortly after getting out of bed.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
- 2021-05-08
- 2021-05-09
- 2021-05-10
- 2021-05-11
- 2021-05-20
-
2021-05-25
Survey response — day 21, dose 2MedDRA: Pruritus, Rash — Feeling: GoodFree text: Rash and itchiness on arms and legs but not sure if its related to vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-01
- 2021-06-08
- 2021-06-15
- 2021-08-03
- 2021-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Dizziness, felt better after I vomited. As day went on I felt like the symptoms became mild.
Systemic reaction (other): Itchy skin arms & legs
Release 7 — day 14, dose 1
Symptoms: Periodically I get headaches that feel like the same headache as when I had covid and the vaccine, however, they are no where near as severe. More of a nuisance.
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Headache went away shortly after getting out of bed.
Release 8 — day 21, dose 2
Symptoms: Rash and itchiness on arms and legs but not sure if its related to vaccine.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Pruritus | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Vomiting | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release