333-33747-27615
3 vaccinations
2 coded responses
20 check-ins
2 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 037 / NH
- Registered
- 2021-03-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-06
Dose 1 — Moderna
-
2021-03-05
Dose 2 — Moderna
-
2021-03-07
Registered in v-safe
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Back pain, Chills, Dizziness, Fatigue, Headache, Injection site hypersensitivity, Insomnia, Pain, Pain in extremity — Feeling: Good · Site: PainFree text: 5 days After receiving the first shot I had fatigue, headache & body aches. After the second dose I had significant pain in my arm, shoulders, back & joints, chills, & lightheaded ness. I couldnt sleep that night. A few hours into the next day the pain, lightheaded ness & chills went away. I then had a headache & body ache which lasted until about 10pm. The next day I was fine except for sensitivity at the injection site.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-03-08
Survey response — days 1–6 daily, dose 2MedDRA: Erythema — Feeling: GoodFree text: Forgot to mention yesterday that after Fridays second shot of Moderna my face was red. My husband thought it might be a rash but I had no itching, burning or other symptoms and it went away by the third day post shot.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-06-04
- 2021-09-03
-
2021-10-06
Dose 3 — ModernaCo-administered: Flu
- 2021-10-28
- 2021-11-03
- 2021-11-11
- 2021-11-17
- 2022-01-05
- 2022-04-06
- 2022-10-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-06 | Moderna | |
| 2 | 2021-03-05 | Moderna | |
| 3 | 2021-10-06 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): 5 days After receiving the first shot I had fatigue, headache & body aches. After the second dose I had significant pain in my arm, shoulders, back & joints, chills, & lightheaded ness. I couldnt sleep that night. A few hours into the next day the pain, lightheaded ness & chills went away. I then had a headache & body ache which lasted until about 10pm. The next day I was fine except for sensitivity at the injection site.
Systemic reaction (other): Forgot to mention yesterday that after Fridays second shot of Moderna my face was red. My husband thought it might be a rash but I had no itching, burning or other symptoms and it went away by the third day post shot.
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 |
|---|---|---|---|---|
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Injection site hypersensitivity | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release