36D-22343-81782
4 vaccinations
8 coded responses
38 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 051 / VT
- Registered
- 2020-12-28
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-28
Registered in v-safe
-
2020-12-28
Dose 1 — Moderna
- 2020-12-28
-
2020-12-29
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
- 2020-12-30
- 2020-12-31
-
2021-01-01
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: GoodFree text: A little light-headed. Mild.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-02
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: Good · Fatigue or tirednessFree text: MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-03
- 2021-01-04
- 2021-01-18
-
2021-01-25
Dose 2 — Moderna
- 2021-01-26
- 2021-01-27
-
2021-01-28
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: GoodFree text: Brain fog - MildMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
- 2021-01-30
- 2021-01-31
-
2021-02-01
Survey response — day 7, dose 2MedDRA: Abdominal pain upper, Constipation — Feeling: Fair · Abdominal painFree text: Mild gastric pain. Who knows if you can come to anything to do. more than likely just feeling a bit constipated.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-15
- 2021-02-22
-
2021-03-01
Survey response — day 35, dose 2MedDRA: Nephrolithiasis — Feeling: GoodFree text: Ive been fighting a kidney stone that is completely unrelatedMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-08
Survey response — day 42, dose 2MedDRA: Gastrointestinal disorder — Feeling: GoodFree text: Some nasty GI problems that have resolved themselves. May or may not have had anything to do with the vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-26
- 2021-07-26
-
2021-10-31
Dose 3 — Moderna
-
2022-01-25
Survey response — 12 months, dose 2MedDRA: COVID-19 — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visitFree text: Diagnosed with Covid November 1, 2021 Fairly mild, but probably due to the fact that I had monoclonal antibody treatmentMedDRA releases: 2024-11 · check-in free text available
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2022-01-25
Report sent to call center — 12 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-01-27
- 2022-01-30
-
2022-04-20
Dose 4 — Moderna
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2022-04-23
Survey response — days 1–6 daily, dose 4MedDRA: Chills — Feeling: Good · Site: Pain · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: I had the shot on April 20 but did not report it in be safe until a couple of days later. The first night after the shot I had very bad chills but no feverMedDRA releases: 2024-11 · check-in free text available
- 2022-04-24
- 2022-04-25
- 2022-04-26
-
2022-04-27
Health check-in — day 7, dose 4Feeling: Fair · Headache, Fatigue or tiredness · Be unable to work or attend schoolAdult check-in
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-05-25
- 2022-06-01
- 2022-07-20
- 2022-10-19
- 2023-04-20
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-28 | Moderna | |
| 2 | 2021-01-25 | Moderna | |
| 3 | 2021-10-31 | Moderna | No |
| 4 | 2022-04-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 1 — days 1–6 daily, dose 1
Systemic reaction (other): A little light-headed. Mild.
Systemic reaction (other): Mild
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Brain fog - Mild
Release 3 — day 7, dose 2
Systemic reaction (other): Mild gastric pain. Who knows if you can come to anything to do. more than likely just feeling a bit constipated.
Release 4 — day 35, dose 2
Symptoms: Ive been fighting a kidney stone that is completely unrelated
Release 5 — day 42, dose 2
Symptoms: Some nasty GI problems that have resolved themselves. May or may not have had anything to do with the vaccine
Release 11 — 12 months, dose 2
Symptoms: Diagnosed with Covid November 1, 2021 Fairly mild, but probably due to the fact that I had monoclonal antibody treatment
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): I had the shot on April 20 but did not report it in be safe until a couple of days later. The first night after the shot I had very bad chills but no fever
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 | COVID-19 | · | · | ✓ |
| SD | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SD | Nephrolithiasis | ✓ | ✓ | ✓ |
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Constipation | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ○ | ○ | ○ |
✓ active code · ○ coded but marked inactive · blank = not in that release