3D3-22121-08936
3 vaccinations
8 coded responses
14 check-ins
8 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 991 / WA
- Registered
- 2021-11-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2020-12-29
Dose 1 — Moderna
-
2021-01-26
Dose 2 — Moderna
-
2021-11-02
Registered in v-safe
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2021-11-02
Dose 3 — Moderna
- 2021-11-02
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2021-11-03
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis, Musculoskeletal stiffness, Neck pain — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body achesFree text: Sore stiff neck, sweatingMedDRA releases: 2024-11 · check-in free text available
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2021-11-04
Survey response — days 1–6 daily, dose 3MedDRA: Hyperhidrosis, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body achesFree text: Stiff neck shoulders and sweating like crazy, soaking sweatMedDRA releases: 2024-11 · check-in free text available
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2021-11-05
Survey response — days 1–6 daily, dose 3MedDRA: Arthralgia, Ear pain, Insomnia, Musculoskeletal stiffness — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches, Fatigue or tirednessFree text: Stiff neck, shoulders and ear ache. Slept horrible again, perhaps related to not sleeping on sore arm.MedDRA releases: 2024-11 · check-in free text available
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2021-11-06
Survey response — days 1–6 daily, dose 3MedDRA: Musculoskeletal stiffness, Pain in extremity, Poor quality sleep — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: Stiff neck still sleeping poorly possibly due to stiff neck and sore arm.MedDRA releases: 2024-11 · check-in free text available
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Poor quality sleep — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessFree text: Not sleeping wellMedDRA releases: 2024-11 · check-in free text available
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2021-11-09
Health check-in — day 7, dose 3Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal painAdult check-in
- 2021-11-16
- 2021-11-24
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2021-11-30
Survey response — day 28, dose 3MedDRA: Adverse reaction, Fatigue — Feeling: GoodFree text: I felt good today but I have felt run down since my booster. I'm kind of a soldier so I never missed work but I certainly wasn't at 100%MedDRA releases: 2024-11 · check-in free text available
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2021-12-07
Survey response — day 35, dose 3MedDRA: Cough, Nasal congestion, Pain, Pyrexia, SARS-CoV-2 test — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Fever, aches, cough, nasal congestion Being tested for Covid19MedDRA releases: 2024-11 · check-in free text available
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2021-12-14
Survey response — day 42, dose 3MedDRA: Cough, Impaired work ability, Malaise, Respiratory tract congestion, Upper respiratory tract infection, Viral upper respiratory tract infection — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Upper respiratory infection or virus, I was out of work for over a week, I still have a cough and congestion. I haven't been this sick in years. If I don't get better I will see my doctor. My husband needed a Z pack. He's horribly ill too.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-03
- 2022-11-02
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2020-12-29 | Moderna | No |
| 2 | 2021-01-26 | Moderna | No |
| 3 | 2021-11-02 | Moderna | No |
Free text
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Sore stiff neck, sweating
Systemic reaction (other): Stiff neck shoulders and sweating like crazy, soaking sweat
Systemic reaction (other): Stiff neck, shoulders and ear ache. Slept horrible again, perhaps related to not sleeping on sore arm.
Systemic reaction (other): Stiff neck still sleeping poorly possibly due to stiff neck and sore arm.
Systemic reaction (other): Not sleeping well
Release 10 — day 28, dose 3
Symptoms: I felt good today but I have felt run down since my booster. I'm kind of a soldier so I never missed work but I certainly wasn't at 100%
Release 10 — day 35, dose 3
Symptoms: Fever, aches, cough, nasal congestion Being tested for Covid19
Release 10 — day 42, dose 3
Symptoms: Upper respiratory infection or virus, I was out of work for over a week, I still have a cough and congestion. I haven't been this sick in years. If I don't get better I will see my doctor. My husband needed a Z pack. He's horribly ill too.
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 | Adverse reaction | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Impaired work ability | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Nasal congestion | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test | · | · | ✓ |
| SD | Upper respiratory tract infection | · | · | ✓ |
| SD | Viral upper respiratory tract infection | · | · | ✓ |
| SRO | Arthralgia | · | · | ✓ |
| SRO | Ear pain | · | · | ✓ |
| SRO | Hyperhidrosis | · | · | ✓ |
| SRO | Insomnia | · | · | ✓ |
| SRO | Musculoskeletal stiffness | · | · | ✓ |
| SRO | Neck pain | · | · | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release