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35H-66538-34102

2 vaccinations 8 coded responses 17 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
931 / CA
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Sleep disorder — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Pain in upper arm was so bad through the night it severely interrupted sleep. I still have slight pain but by 1:00pm today it was subsiding.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: dizziness with sharp head movements
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-06
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness
    Free text: Very occasionally dizzy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-07
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Fatigue or tiredness
    Free text: still some dizziness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-09
    Survey response — day 7, dose 1
    MedDRA: Dizziness, Fatigue, Headache, Poor quality sleep — Feeling: Good · Headache, Fatigue or tiredness
    Free text: Minor headache, fatigue and slight occasional dizziness - but could have to do with a week of poor to little sleep
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Fair
    Adult check-in
  11. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-30
    Dose 2 — Moderna
  13. 2021-04-06
    Survey response — day 7, dose 2
    MedDRA: Chills, Fatigue, Headache, Injection site erythema, Injection site pain, Injection site swelling, Nausea, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching · Muscle or body aches
    Free text: for the 48 hours after the second shot - I had fever, chills, pain redness and swelling at the injection site, headache, nausea and extreme fatigue. These severe symptoms abated by late morning 4.01.21
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-04-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-29
    Survey response — day 28, dose 2
    MedDRA: Impaired work ability, Tension headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I've had a bad tension headache (possibly a migraine?) for the past 24 hours or so. I will be leaving work early today as the pain is pervasive. I do not know that this is COVID related.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-04
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Insomnia — Feeling: Fair
    Free text: Fatigue / insomnia. Possibly due to family and work stresses
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-11
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-01
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): Pain in upper arm was so bad through the night it severely interrupted sleep. I still have slight pain but by 1:00pm today it was subsiding.

2021-03-05

Systemic reaction (other): dizziness with sharp head movements

2021-03-06

Systemic reaction (other): Very occasionally dizzy

2021-03-07

Systemic reaction (other): still some dizziness.

Release 5 — day 7, dose 1

2021-03-09

Systemic reaction (other): Minor headache, fatigue and slight occasional dizziness - but could have to do with a week of poor to little sleep

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): for the 48 hours after the second shot - I had fever, chills, pain redness and swelling at the injection site, headache, nausea and extreme fatigue. These severe symptoms abated by late morning 4.01.21

Release 8 — day 28, dose 2

2021-04-29

Symptoms: I've had a bad tension headache (possibly a migraine?) for the past 24 hours or so. I will be leaving work early today as the pain is pervasive. I do not know that this is COVID related.

Release 8 — day 35, dose 2

2021-05-04

Symptoms: Fatigue / insomnia. Possibly due to family and work stresses

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
SDFatigue ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDInsomnia ✓ ✓ ✓
SDTension headache ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPoor quality sleep ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓

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