36M-15526-67837
4 vaccinations
9 coded responses
26 check-ins
9 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 189 / PA
- Registered
- 2021-03-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-09
Dose 1 — Moderna
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2021-03-09
Registered in v-safe
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2021-03-09
Dose 2 — Moderna
- 2021-03-09
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2021-03-10
Survey response — days 1–6 daily, dose 2MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tirednessFree text: They are decreasing now (4:30)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-11
Survey response — days 1–6 daily, dose 2MedDRA: Energy increased — Feeling: GoodFree text: Spoke with a few friends who have also recd the second dose of the vaccine and we all spoke of feeling totally energized today as it being day two after the final vaccine. Crazy !MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Felt good all dayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Decreased appetite — Feeling: GoodFree text: Off &on a few days after first vaccine injection and continuing is a lack of appetite spoke to my doctor he thought it could be vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: No adverse event — Feeling: GoodFree text: Good day all aroundMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-15
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2021-03-16
Survey response — day 7, dose 2MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · HeadacheFree text: Slight in AM went away in a few minutesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-23
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2021-03-30
Survey response — day 21, dose 2MedDRA: Abdominal discomfort, Diarrhoea, Gastrointestinal tract irritation — Feeling: FairFree text: GI symptoms minor irritation followed by some loose stools.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-06
Survey response — day 28, dose 2MedDRA: Headache — Feeling: GoodFree text: Occasional headaches mild thoughMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-06-08
- 2021-09-07
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2021-09-09
Dose 3 — Moderna
- 2022-03-09
- 2022-03-10
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2022-04-02
Dose 4 — Moderna
- 2022-04-14
- 2022-04-16
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2022-04-23
Survey response — day 21, dose 4MedDRA: Fatigue, Pyrexia, SARS-CoV-2 test negative — Feeling: FairFree text: Feeling very tired and feverish but for only about 20 hours. Took Covid yesterday was negative. Feel fine todayMedDRA releases: 2024-11 · check-in free text available
- 2022-04-30
- 2022-05-07
- 2022-05-14
- 2022-07-02
- 2022-10-01
- 2023-04-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-09-09 | Moderna | No |
| 4 | 2022-04-02 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): They are decreasing now (4:30)
Systemic reaction (other): Spoke with a few friends who have also recd the second dose of the vaccine and we all spoke of feeling totally energized today as it being day two after the final vaccine. Crazy !
Systemic reaction (other): Felt good all day
Systemic reaction (other): Off &on a few days after first vaccine injection and continuing is a lack of appetite spoke to my doctor he thought it could be vaccine related.
Systemic reaction (other): Good day all around
Release 5 — day 7, dose 2
Systemic reaction (other): Slight in AM went away in a few minutes
Release 6 — day 21, dose 2
Symptoms: GI symptoms minor irritation followed by some loose stools.
Release 7 — day 28, dose 2
Symptoms: Occasional headaches mild though
Release 11 — day 21, dose 4
Symptoms: Feeling very tired and feverish but for only about 20 hours. Took Covid yesterday was negative. Feel fine 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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Gastrointestinal tract irritation | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Energy increased | ✓ | ✓ | ✓ |
| SRO | No adverse event | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release