36E-16996-33470
4 vaccinations
8 coded responses
34 check-ins
8 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 809 / CO
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Hispanic or Latino
Timeline
-
2021-03-06
Dose 1 — Moderna
-
2021-03-09
Registered in v-safe
- 2021-03-09
- 2021-03-10
- 2021-03-12
- 2021-03-13
-
2021-03-20
Survey response — day 14, dose 1MedDRA: Asthenia, Fatigue, Poor quality sleep — Feeling: GoodFree text: Not sleeping restfully, very fatigued, no energyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
-
2021-04-03
Dose 2 — Moderna
- 2021-04-03
-
2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: Good · Site: Swelling · Fatigue or tirednessFree text: NoMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-10
-
2021-04-17
Survey response — day 14, dose 2MedDRA: Drug withdrawal syndrome, Headache, Self-medication — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Don't think it's related but 2nd day of caffeinevwithdrawal for upcoming medical tests. Head pain not relieved with Tylenol, constant temple pain with occasional jabs, pain in back of head. Feels better when pressure is applied.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-25
- 2021-05-03
- 2021-05-08
- 2021-05-15
- 2021-07-05
-
2021-10-02
Survey response — 6 months, dose 2MedDRA: Headache — Feeling: FairFree text: Daily headache, pain level 4-5.thought it may be related to u shot last Friday?MedDRA releases: 2024-11 · check-in free text available
-
2021-10-19
Dose 3 — Moderna
- 2022-04-03
-
2022-04-14
Dose 4 — Moderna
-
2022-04-15
Survey response — days 1–6 daily, dose 4MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2024-11 · check-in free text available
-
2022-04-16
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, NauseaAdult check-in
- 2022-04-17
- 2022-04-19
- 2022-04-22
-
2022-04-28
Survey response — day 14, dose 4MedDRA: Arthralgia — Feeling: GoodFree text: Still have aching joints. Was tested for rheumatoid arthritis and was negative.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-05
- 2022-05-12
- 2022-05-19
-
2022-05-29
Survey response — day 42, dose 4MedDRA: Headache — Feeling: Good · Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Pain in head but i have MRI'S scheduled for early June.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-29
Report sent to call center — day 42, dose 4Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-06-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-07-14
-
2022-10-14
Survey response — 6 months, dose 4MedDRA: Dizziness — Feeling: GoodFree text: More frequent lightheadedness not related to vaccine. Getting MRA today.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-06 | Moderna | |
| 2 | 2021-04-03 | Moderna | |
| 3 | 2021-10-19 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 6 — day 14, dose 1
Symptoms: Not sleeping restfully, very fatigued, no energy
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): No
Release 7 — day 14, dose 2
Symptoms: Don't think it's related but 2nd day of caffeinevwithdrawal for upcoming medical tests. Head pain not relieved with Tylenol, constant temple pain with occasional jabs, pain in back of head. Feels better when pressure is applied.
Release 9 — 6 months, dose 2
Symptoms: Daily headache, pain level 4-5.thought it may be related to u shot last Friday?
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): No
Release 11 — day 14, dose 4
Symptoms: Still have aching joints. Was tested for rheumatoid arthritis and was negative.
Release 11 — day 42, dose 4
Symptoms: Pain in head but i have MRI'S scheduled for early June.
Release 12 — 6 months, dose 4
Symptoms: More frequent lightheadedness not related to vaccine. Getting MRA today.
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 | Arthralgia | · | · | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Drug withdrawal syndrome | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Poor quality sleep | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release