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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

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-03-09
    Registered in v-safe
  3. 2021-03-09
    Dose 2 — Moderna
  4. 2021-03-09
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness
    Free text: They are decreasing now (4:30)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-11
    Survey response — days 1–6 daily, dose 2
    MedDRA: Energy increased — Feeling: Good
    Free 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
  7. 2021-03-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Good
    Free text: Felt good all day
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite — Feeling: Good
    Free 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
  9. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: Good day all around
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-03-16
    Survey response — day 7, dose 2
    MedDRA: Adverse reaction, Unevaluable event — Feeling: Good · Headache
    Free text: Slight in AM went away in a few minutes
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-23
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-30
    Survey response — day 21, dose 2
    MedDRA: Abdominal discomfort, Diarrhoea, Gastrointestinal tract irritation — Feeling: Fair
    Free text: GI symptoms minor irritation followed by some loose stools.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-06
    Survey response — day 28, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Occasional headaches mild though
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-13
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-04-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-09-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-09-09
    Dose 3 — Moderna
  20. 2022-03-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-03-10
    Health check-in — 6 months, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-04-02
    Dose 4 — Moderna
  23. 2022-04-14
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  24. 2022-04-16
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  25. 2022-04-23
    Survey response — day 21, dose 4
    MedDRA: Fatigue, Pyrexia, SARS-CoV-2 test negative — Feeling: Fair
    Free text: Feeling very tired and feverish but for only about 20 hours. Took Covid yesterday was negative. Feel fine today
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-04-30
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-07
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  28. 2022-05-14
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-07-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-10-01
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2023-04-02
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna
32021-09-09Moderna No
42022-04-02Moderna No

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-10

Systemic reaction (other): They are decreasing now (4:30)

2021-03-11

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 !

2021-03-12

Systemic reaction (other): Felt good all day

2021-03-13

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.

2021-03-14

Systemic reaction (other): Good day all around

Release 5 — day 7, dose 2

2021-03-16

Systemic reaction (other): Slight in AM went away in a few minutes

Release 6 — day 21, dose 2

2021-03-30

Symptoms: GI symptoms minor irritation followed by some loose stools.

Release 7 — day 28, dose 2

2021-04-06

Symptoms: Occasional headaches mild though

Release 11 — day 21, dose 4

2022-04-23

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

FieldPreferred term2021-092023-042024-11
SDAbdominal discomfort ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDFatigue · · ✓
SDGastrointestinal tract irritation ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDPyrexia · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAdverse reaction ✓ ✓ ✓
SRODecreased appetite ✓ ✓ ✓
SROEnergy increased ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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