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37E-31541-17435

1 vaccination 4 coded responses 10 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
338 / FL
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-02-15
    Registered in v-safe
  3. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  4. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Feeling hot, Head discomfort, Pain, Somnolence — Feeling: Good · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: I did not sign up the first day after the shot. I wanted to die. My head felt like it was going to explode. I was hot then chills, hurt to move, slept for 2 days as much as I could because I was in so much pain. I cant imagine worse side effects from a second dose. I am not certain that I will take it.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-02-18
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: Nope
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-21
    Survey response — day 7, dose 1
    MedDRA: Contusion, Office visit — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have a bruise 8 days post injection, no bruise prior. My physician noticed that it was not in the correct spot. It was way too high. They also did not wipe the site with alcohol correctly. Where did you get these nurses?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-02-27
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-03-14
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-15
    Survey response — 3 months, dose 1
    MedDRA: Asthenia, Fatigue, Impaired work ability, Loss of personal independence in daily activities, Pain — Feeling: Fair · Be unable to work, Be unable to do your normal daily activities
    Free text: I was unable to get off the couch for 4 weeks. I had profound weakness. Not a lot of pain but really not able to work - even around the house. I have had my daughter here to take care of me. I was too achy and tired to cook or clean. Showering was di
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2022-02-14
    Health check-in — 12 months, dose 1
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): I did not sign up the first day after the shot. I wanted to die. My head felt like it was going to explode. I was hot then chills, hurt to move, slept for 2 days as much as I could because I was in so much pain. I cant imagine worse side effects from a second dose. I am not certain that I will take it.

2021-02-18

Systemic reaction (other): Nope

Release 4 — day 7, dose 1

2021-02-21

Systemic reaction (other): I have a bruise 8 days post injection, no bruise prior. My physician noticed that it was not in the correct spot. It was way too high. They also did not wipe the site with alcohol correctly. Where did you get these nurses?

Release 8 — 3 months, dose 1

2021-05-15

Symptoms: I was unable to get off the couch for 4 weeks. I had profound weakness. Not a lot of pain but really not able to work - even around the house. I have had my daughter here to take care of me. I was too achy and tired to cook or clean. Showering was di cut off by CDC

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
SDAsthenia ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDImpaired work ability ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDPain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROContusion ✓ ✓ ✓
SROFeeling hot ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOffice visit ✓ · ✓
SROPain ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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