36H-19638-55321
2 vaccinations
10 coded responses
24 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 321 / FL
- Registered
- 2021-04-07
- Relationship
- Self
- Race
- Multiracial
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-06
Dose 1 — Moderna
-
2021-04-07
Registered in v-safe
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2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Feeling abnormal — Feeling: Fair · Site: Pain · Fatigue or tiredness, NauseaFree text: felt odd, like in a twilight zoneMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-08
Survey response — days 1–6 daily, dose 1MedDRA: Malaise — Feeling: Fair · Site: Pain · NauseaFree text: just felt kinda crappyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-09
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2021-04-10
Survey response — days 1–6 daily, dose 1MedDRA: Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: tiredness is not new... had it before void vaccineMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, NauseaAdult check-in
- 2021-04-13
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2021-04-20
Survey response — day 14, dose 1MedDRA: Headache, Nausea, Self-medication — Feeling: GoodFree text: had headache yesterday... ibuprofen would not alleviate it..also felt queezy all day. it resolved over night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 21, dose 1MedDRA: Headache — Feeling: GoodFree text: starting on about day 5 i think it was ..April 12th...after the vaccine i got daily headaches which stopped on April 25thMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-04
Dose 2 — Moderna
- 2021-05-04
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2021-05-05
Survey response — days 1–6 daily, dose 2MedDRA: Malaise — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: general feeling of unwellnessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-06
- 2021-05-07
- 2021-05-08
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2021-05-09
Survey response — days 1–6 daily, dose 2MedDRA: Myalgia, Pain in extremity — Feeling: Good · Muscle or body achesFree text: past two nights feeling muscle ache left arm same arb i got the vaccine inMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-10
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2021-05-11
Survey response — day 7, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: mild headacheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-18
- 2021-05-25
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2021-06-01
Survey response — day 28, dose 2MedDRA: Arthralgia — Feeling: FairFree text: joint achesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-08
Survey response — day 35, dose 2MedDRA: Arthralgia, Myalgia — Feeling: FairFree text: muscle aches joint painMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-15
- 2021-08-03
- 2021-11-04
- 2022-05-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-06 | Moderna | |
| 2 | 2021-05-04 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): felt odd, like in a twilight zone
Systemic reaction (other): just felt kinda crappy
Systemic reaction (other): tiredness is not new... had it before void vaccine
Release 7 — day 14, dose 1
Symptoms: had headache yesterday... ibuprofen would not alleviate it..also felt queezy all day. it resolved over night.
Release 8 — day 21, dose 1
Symptoms: starting on about day 5 i think it was ..April 12th...after the vaccine i got daily headaches which stopped on April 25th
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): general feeling of unwellness
Systemic reaction (other): past two nights feeling muscle ache left arm same arb i got the vaccine in
Release 8 — day 7, dose 2
Systemic reaction (other): mild headache
Release 8 — day 28, dose 2
Symptoms: joint aches
Release 8 — day 35, dose 2
Symptoms: muscle aches joint pain
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 | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Myalgia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release