2WU-16771-05398
4 vaccinations
8 coded responses
45 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 180 / PA
- Registered
- 2021-03-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-16
Registered in v-safe
-
2021-03-16
Dose 1 — Moderna
-
2021-03-16
Survey response — day 0, dose 1MedDRA: No adverse event — Feeling: Good · Headache, Fatigue or tirednessFree text: No.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-17
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-23
- 2021-03-30
- 2021-04-06
-
2021-04-12
Dose 2 — Moderna
- 2021-04-12
-
2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-15
- 2021-04-16
- 2021-04-17
- 2021-04-18
-
2021-04-21
Survey response — day 7, dose 2MedDRA: Oropharyngeal pain, Throat clearing — Feeling: GoodFree text: Slight sore throat, clearing my throat a lot the last couple of days. I dont have allergies.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-26
Survey response — day 14, dose 2MedDRA: Gastrointestinal disorder, Headache — Feeling: GoodFree text: Headaches, tummy troublesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-10
-
2021-05-18
Survey response — day 35, dose 2MedDRA: Headache — Feeling: GoodFree text: I seem to have frequent headaches, but they are mild. This has been since I got the second shot. Ive been ignoring them since they are mild, but this wasnt happening before the shots.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-24
- 2021-07-12
- 2021-10-11
-
2021-11-22
Dose 3 — Moderna
-
2021-11-24
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
-
2021-11-25
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pain — Feeling: Good · Site: PainFree text: Pain at injection site has lessened to only when it's touched.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-11-27
-
2021-11-28
Survey response — days 1–6 daily, dose 3MedDRA: Headache — Feeling: Good · HeadacheFree text: I have slight headaches from time to time most days since the booster.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-07
- 2021-12-13
- 2021-12-20
- 2021-12-27
- 2022-01-03
-
2022-02-21
Survey response — 3 months, dose 3MedDRA: Breakthrough COVID-19, Headache — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Dull Headaches on top of my head toward the frontal lobe nearly every day since I had COVID-19 in January 2022. Omicron breakthrough case.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-25
-
2022-11-09
Dose 4 — Moderna
- 2022-11-26
- 2022-11-26
- 2022-12-02
-
2022-12-09
Survey response — day 28, dose 4MedDRA: Headache — Feeling: FairFree text: HeadachesMedDRA releases: 2024-11 · check-in free text available
- 2022-12-16
- 2022-12-21
- 2023-02-08
- 2023-05-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-16 | Moderna | |
| 2 | 2021-04-12 | Moderna | |
| 3 | 2021-11-22 | Moderna | No |
| 4 | 2022-11-09 | Moderna | No |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): No.
Release 7 — day 7, dose 2
Systemic reaction (other): Slight sore throat, clearing my throat a lot the last couple of days. I dont have allergies.
Release 8 — day 14, dose 2
Symptoms: Headaches, tummy troubles
Release 8 — day 35, dose 2
Symptoms: I seem to have frequent headaches, but they are mild. This has been since I got the second shot. Ive been ignoring them since they are mild, but this wasnt happening before the shots.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Pain at injection site has lessened to only when it's touched.
Systemic reaction (other): I have slight headaches from time to time most days since the booster.
Release 11 — 3 months, dose 3
Symptoms: Dull Headaches on top of my head toward the frontal lobe nearly every day since I had COVID-19 in January 2022. Omicron breakthrough case.
Release 12 — day 28, dose 4
Symptoms: Headaches
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 | Breakthrough COVID-19 | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Injection site pain | · | · | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SRO | Throat clearing | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release