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3AQ-21782-76632

2 vaccinations 7 coded responses 11 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
906 / CA
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-02-09
    Dose 1 — Moderna
  2. 2021-03-09
    Dose 2 — Moderna
  3. 2021-03-13
    Registered in v-safe
  4. 2021-03-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Dyspnoea — Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Chest hurts, sometimes hurts to breathe
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-16
    Health check-in — day 7, dose 2
    Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-24
    Survey response — day 14, dose 2
    MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: I get tired very easily. I still have headaches often on.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-30
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Headache, Nausea, Pain, Painful respiration — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headaches, achiness, lack of energy, nausea, hurts to breathe sometimes.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-07
    Survey response — day 28, dose 2
    MedDRA: Arthralgia, Contusion, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Hurtful headaches, skin feels bruised, Joints ache, fatigue.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-13
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headaches, fatigue, sore muscles, body fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-20
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Headaches, muscles are achy, fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-06-08
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-09-08
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Fatigue, Headache, Pain — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Many headaches, joints hurt, I am extremely tired which makes me take a nap daily, I feel sore all over.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-09Moderna
22021-03-09Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Chest hurts, sometimes hurts to breathe

Release 6 — day 14, dose 2

2021-03-24

Symptoms: I get tired very easily. I still have headaches often on.

Release 6 — day 21, dose 2

2021-03-30

Symptoms: Headaches, achiness, lack of energy, nausea, hurts to breathe sometimes.

Release 7 — day 28, dose 2

2021-04-07

Symptoms: Hurtful headaches, skin feels bruised, Joints ache, fatigue.

Release 7 — day 35, dose 2

2021-04-13

Symptoms: Headaches, fatigue, sore muscles, body fatigue

Release 7 — day 42, dose 2

2021-04-20

Symptoms: Headaches, muscles are achy, fatigue

Release 9 — 6 months, dose 2

2021-09-08

Symptoms: Many headaches, joints hurt, I am extremely tired which makes me take a nap daily, I feel sore all over.

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
SDArthralgia ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDContusion ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMyalgia ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDPainful respiration ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓

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