37L-28979-77559
3 vaccinations
3 coded responses
19 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 145 / NY
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
- 2021-02-03
- 2021-02-04
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-10
- 2021-02-22
-
2021-03-01
Dose 2 — Moderna
- 2021-03-01
-
2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-03-03
Survey response — days 1–6 daily, dose 2MedDRA: Headache — Feeling: Good · HeadacheFree text: Headache early morning but resolved by noonMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-06
-
2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Change of bowel habit, Chills, Fatigue, Headache, Lethargy, Nausea — Feeling: GoodFree text: I am now, day 6 after #2 vaccine. Reflect back: I did have bowel changes, slight headaches, and chills , PRN nausea but never felt thought it might be from the vaccine. The most annoying was my exhaustion/ lethargy. Felt it was d/t pandemic, my age and overall lack of socializing. I am well now and most thankful for this vaccine!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-01
-
2021-10-24
Dose 3 — Moderna
-
2021-10-28
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Fatigue, Headache, Hyperhidrosis, Nausea, Retching — Feeling: Fair · Site: PainFree text: On Monday Oct 24 I had, temp 10O.6 ,head ache, nausea, dry heaving,diaphoresis, tirednesslasting about6 hrs l, beginning about 14 hours after receiving the boosterMedDRA releases: 2024-11 · check-in free text available
- 2021-10-29
- 2021-10-30
- 2021-10-31
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-01 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Headache early morning but resolved by noon
Systemic reaction (other): I am now, day 6 after #2 vaccine. Reflect back: I did have bowel changes, slight headaches, and chills , PRN nausea but never felt thought it might be from the vaccine. The most annoying was my exhaustion/ lethargy. Felt it was d/t pandemic, my age and overall lack of socializing. I am well now and most thankful for this vaccine!
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): On Monday Oct 24 I had, temp 10O.6 ,head ache, nausea, dry heaving,diaphoresis, tirednesslasting about6 hrs l, beginning about 14 hours after receiving the booster
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 |
|---|---|---|---|---|
| SRO | Body temperature increased | · | · | ✓ |
| SRO | Change of bowel habit | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Lethargy | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Retching | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release