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3DT-28078-58206

2 vaccinations 5 coded responses 21 check-ins 5 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
420 / KY
Registered
2021-03-05
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-05
    Registered in v-safe
  2. 2021-03-05
    Dose 1 — Moderna
  3. 2021-03-05
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-14
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-04-02
    Dose 2 — Moderna
  12. 2021-04-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Site: Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: This was all severe Thur night after I got the shot Thur afternoon I couldn't do anything Fri but the web site didn't let me in.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Itching · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Today my roommate is feeling chills and nausea. He had his first covid 2 weeks ago so what I am experiencing my be another virus not the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-07
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Poor · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work
    Free text: I believe we have gotten something else.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  17. 2021-04-09
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-16
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  19. 2021-04-23
    Survey response — day 21, dose 2
    MedDRA: Fatigue, Nausea, Office visit — Feeling: Poor · Be unable to work, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Continued nausea and fatigue. It has been 3 wks and I'm still not able to function normally. I finally went to the doctor Thur.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-23
    Report sent to call center — day 21, dose 2
    Be unable to work · Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    1 call case(s)
  21. 2021-04-30
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-08
    Survey response — day 35, dose 2
    MedDRA: Aortic valve disease, Dyspnoea, Fatigue, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities
    Free text: I waz diagnosed with a leaky Aorta valve 2 years ago. Since my covert shot I have experienced shortness of breath and fatigue that is worse than it waz before.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-07-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-03
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  26. 2022-04-05
    Call successful
    Not applicable (accidental reporting or does not believe symptoms are related to vaccine)

Vaccinations

DoseDateManufacturerCo-administered
12021-03-05Moderna
22021-04-02Moderna

Call center

1 call center case

1 successful

See the call center timeline

Free text

Release 6 — days 1–6 daily, dose 2

2021-04-03

Systemic reaction (other): This was all severe Thur night after I got the shot Thur afternoon I couldn't do anything Fri but the web site didn't let me in.

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): Today my roommate is feeling chills and nausea. He had his first covid 2 weeks ago so what I am experiencing my be another virus not the vaccine.

2021-04-07

Systemic reaction (other): I believe we have gotten something else.

Release 7 — day 21, dose 2

2021-04-23

Symptoms: Continued nausea and fatigue. It has been 3 wks and I'm still not able to function normally. I finally went to the doctor Thur.

Release 8 — day 35, dose 2

2021-05-08

Symptoms: I waz diagnosed with a leaky Aorta valve 2 years ago. Since my covert shot I have experienced shortness of breath and fatigue that is worse than it waz before.

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
SDAortic valve disease ○ ✓ ○
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDNausea ✓ ✓ ✓
SDOffice visit ✓ ✓ ✓
SDPre-existing disease ✓ · ✓
SROAdverse reaction ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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