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
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2021-02-09
Dose 1 — Moderna
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2021-03-09
Dose 2 — Moderna
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2021-03-13
Registered in v-safe
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2021-03-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-15
Survey response — days 1–6 daily, dose 2MedDRA: 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 activitiesFree text: Chest hurts, sometimes hurts to breatheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Health check-in — day 7, dose 2Feeling: Poor · Site: Pain, Swelling · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-03-24
Survey response — day 14, dose 2MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
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2021-03-30
Survey response — day 21, dose 2MedDRA: Asthenia, Headache, Nausea, Pain, Painful respiration — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headaches, achiness, lack of energy, nausea, hurts to breathe sometimes.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-07
Survey response — day 28, dose 2MedDRA: Arthralgia, Contusion, Fatigue, Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Hurtful headaches, skin feels bruised, Joints ache, fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-13
Survey response — day 35, dose 2MedDRA: Fatigue, Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headaches, fatigue, sore muscles, body fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-20
Survey response — day 42, dose 2MedDRA: Fatigue, Headache, Myalgia — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Headaches, muscles are achy, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-08
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2021-09-08
Survey response — 6 months, dose 2MedDRA: Arthralgia, Fatigue, Headache, Pain — Feeling: Poor · Be unable to do your normal daily activitiesFree 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
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-09 | Moderna | |
| 2 | 2021-03-09 | Moderna |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Chest hurts, sometimes hurts to breathe
Release 6 — day 14, dose 2
Symptoms: I get tired very easily. I still have headaches often on.
Release 6 — day 21, dose 2
Symptoms: Headaches, achiness, lack of energy, nausea, hurts to breathe sometimes.
Release 7 — day 28, dose 2
Symptoms: Hurtful headaches, skin feels bruised, Joints ache, fatigue.
Release 7 — day 35, dose 2
Symptoms: Headaches, fatigue, sore muscles, body fatigue
Release 7 — day 42, dose 2
Symptoms: Headaches, muscles are achy, fatigue
Release 9 — 6 months, dose 2
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Arthralgia | ✓ | ✓ | ✓ |
| SD | Asthenia | ✓ | ✓ | ✓ |
| SD | Contusion | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Painful respiration | ✓ | ✓ | ✓ |
| SRO | Chest pain | ✓ | ✓ | ✓ |
| SRO | Dyspnoea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release