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327-21642-40521

4 vaccinations 7 coded responses 25 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
801 / CO
Registered
2021-04-16
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino
Registered dependents
NF2-12271-58179 Child or adolescent in my care · Male · 2022-10-23

Timeline

  1. 2021-03-20
    Dose 1 — Moderna
  2. 2021-04-16
    Registered in v-safe
  3. 2021-04-16
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  4. 2021-04-17
    Dose 2 — Moderna
  5. 2021-04-17
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  6. 2021-04-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthma, Chills, Pain, Pain in extremity, Retching, Vomiting — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Vomiting, Abdominal pain · Be unable to do your normal daily activities
    Free text: I woke up to throwing up and dry heaving for over an hour. Not Fun! :( Still glad i got it!! Ill be fine. Better this evening with my stomach. Some asthma kicking up and chills, pain. Need a good nights sleep!!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal discomfort, Headache — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Doing better today. Still have headache & upset stomach. Feeling better than yesterday ..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-20
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness · Headache, Fatigue or tiredness, Nausea
    Free text: Much better today!!!! :)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Site: Pain, Redness, Itching · Fatigue or tiredness
    Free text: Feeling much better! One thing occurred to me. Im on HRT. I had just gotten my estrogen & testosterone pellets the week before. Makes me wonder if that had something to do with my severe symptoms after the 2nd shot? Just food for thought. :)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Nausea
    Free text: Yay!!! Feeling better..
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-04-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  13. 2021-05-01
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-08
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-15
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-22
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-05-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-10-16
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  20. 2021-11-19
    Dose 3 — Moderna
  21. 2022-04-17
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2022-09-18
    Dose 4 — Moderna
    Co-administered: Flu
  23. 2022-09-28
    Health check-in — day 7, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  24. 2022-10-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-10-09
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  26. 2022-10-16
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-10-23
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-10-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-12-18
    Survey response — 3 months, dose 4
    MedDRA: Chills, Influenza like illness, Malaise, Nasal congestion, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Sick. No covid. Fever chills, fluish. Stuffy nose
    MedDRA releases: 2024-11 · check-in free text available
  30. 2023-03-19
    Survey response — 6 months, dose 4
    MedDRA: Ventricular tachycardia — Feeling: Fair
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-20Moderna
22021-04-17Moderna
32021-11-19Moderna No
42022-09-18Moderna Flu

Free text

Release 7 — days 1–6 daily, dose 2

2021-04-18

Systemic reaction (other): I woke up to throwing up and dry heaving for over an hour. Not Fun! :( Still glad i got it!! Ill be fine. Better this evening with my stomach. Some asthma kicking up and chills, pain. Need a good nights sleep!!!

2021-04-19

Systemic reaction (other): Doing better today. Still have headache & upset stomach. Feeling better than yesterday ..

2021-04-20

Systemic reaction (other): Much better today!!!! :)

2021-04-21

Systemic reaction (other): Feeling much better! One thing occurred to me. Im on HRT. I had just gotten my estrogen & testosterone pellets the week before. Makes me wonder if that had something to do with my severe symptoms after the 2nd shot? Just food for thought. :)

2021-04-22

Systemic reaction (other): Yay!!! Feeling better..

Release 12 — 3 months, dose 4

2022-12-18

Symptoms: Sick. No covid. Fever chills, fluish. Stuffy nose

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
SDChills · · ✓
SDInfluenza like illness · · ✓
SDMalaise · · ✓
SDNasal congestion · · ✓
SDPyrexia · · ✓
SDVentricular tachycardia · · ✓
SROAbdominal discomfort ✓ ✓ ✓
SROAsthma ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SRORetching ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓
SROVomiting ✓ ✓ ✓

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