3GB-17694-42061
5 vaccinations
13 coded responses
45 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 287 / NC
- Registered
- 2021-03-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-05
Dose 1 — Moderna
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2021-03-06
Registered in v-safe
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2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain, Redness, Swelling · Chills, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, NauseaAdult check-in
- 2021-03-09
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2021-03-10
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-03-11
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2021-03-13
Health check-in — day 7, dose 1Feeling: Fair · Site: Itching · Chills, Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-20
Survey response — day 14, dose 1MedDRA: Fatigue, Injection site erythema, Injection site pain, Injection site pruritus, Testicular swelling — Feeling: GoodFree text: Itching, swelling, redness, aching at injection site.Experience of more fatigue after exertion that I never had before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-26
- 2021-04-02
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2021-04-05
Dose 2 — Moderna
- 2021-04-09
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2021-04-10
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extreme fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-11
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2021-04-12
Survey response — day 7, dose 2MedDRA: Autoimmune disorder, Pre-existing disease — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: I have autoimmune disorderMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-19
- 2021-04-26
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2021-05-05
Survey response — day 28, dose 2MedDRA: Asthenia, Fatigue — Feeling: FairFree text: I have noticed that even on good days my energy level is poorer. I still get chores done..but fatigue is becoming more pronounced. Will make an appt with my doctor.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-12
- 2021-05-17
- 2021-07-05
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2021-10-06
Survey response — 6 months, dose 2MedDRA: Atypical pneumonia, Transient ischaemic attack — Feeling: Good · Be unable to do your normal daily activitiesFree text: walking pneumonia in august. tia , July 28thMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Dose 3 — Moderna
- 2021-11-05
- 2021-11-06
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2021-11-13
Survey response — day 14, dose 3MedDRA: Hypotension — Feeling: Good · Be unable to do your normal daily activitiesFree text: Low blood oressureMedDRA releases: 2024-11 · check-in free text available
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2021-11-20
Survey response — day 21, dose 3MedDRA: Asthenia, Dizziness, Hunger, Palpitations — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Heart palpitations that I almost passed out. Weak, hungry afterwardsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-29
- 2021-12-04
- 2021-12-11
- 2022-01-29
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2022-04-10
Dose 4 — Moderna
- 2022-04-19
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2022-04-24
Survey response — day 14, dose 4MedDRA: Fatigue, Feeling abnormal — Feeling: Fair · Be unable to do your normal daily activitiesFree text: More fatigued and fuzzy headed at times.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-01
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2022-05-09
Survey response — day 28, dose 4MedDRA: Pain in extremity — Feeling: GoodFree text: Whole right arm is VERY sore. Thats the arm of vaccination. I continue my ormal activity, hoping to work out soreness. I still awaken in the morning with soreness, and start all over again.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
- 2022-05-23
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2022-07-10
Survey response — 3 months, dose 4MedDRA: Fatigue, Injection site pain, Osteoarthritis — Feeling: Good · Be unable to do your normal daily activitiesFree text: Bone on bone hip joint. The one thing that i have not mentioned, which continues, is the extreme soreness at shot sight in right arm. Fatigue..is it just normal for old age?MedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Survey response — 6 months, dose 4MedDRA: Arthralgia, Back pain, Gait disturbance, Groin pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Gtoin, hip and low back pain. Walking is difficult. Waiting for bone density test.MedDRA releases: 2024-11 · check-in free text available
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2022-10-14
Dose 5 — Moderna
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2022-10-20
Health check-in — days 1–6 daily, dose 5Feeling: Good · Joint pains, Muscle or body achesAdult check-in
- 2022-10-21
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2022-10-28
Survey response — day 14, dose 5MedDRA: Arthralgia, Mobility decreased — Feeling: Good · Be unable to do your normal daily activitiesFree text: Right hip pain quite painful and difficult to move freely.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-04
- 2022-11-11
- 2022-11-18
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2022-11-25
Survey response — day 42, dose 5MedDRA: Respiratory syncytial virus infection — Feeling: Fair · Be unable to do your normal daily activitiesFree text: RSVMedDRA releases: 2024-11 · check-in free text available
- 2023-01-13
- 2023-04-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-05 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
| 4 | 2022-04-10 | Moderna | No |
| 5 | 2022-10-14 | Moderna | No |
Free text
Release 6 — day 14, dose 1
Symptoms: Itching, swelling, redness, aching at injection site.Experience of more fatigue after exertion that I never had before.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme fatigue
Release 7 — day 7, dose 2
Systemic reaction (other): I have autoimmune disorder
Release 8 — day 28, dose 2
Symptoms: I have noticed that even on good days my energy level is poorer. I still get chores done..but fatigue is becoming more pronounced. Will make an appt with my doctor.
Release 10 — 6 months, dose 2
Symptoms: walking pneumonia in august. tia , July 28th
Release 10 — day 14, dose 3
Symptoms: Low blood oressure
Release 10 — day 21, dose 3
Symptoms: Heart palpitations that I almost passed out. Weak, hungry afterwards
Release 11 — day 14, dose 4
Symptoms: More fatigued and fuzzy headed at times.
Release 11 — day 28, dose 4
Symptoms: Whole right arm is VERY sore. Thats the arm of vaccination. I continue my ormal activity, hoping to work out soreness. I still awaken in the morning with soreness, and start all over again.
Release 12 — 3 months, dose 4
Symptoms: Bone on bone hip joint. The one thing that i have not mentioned, which continues, is the extreme soreness at shot sight in right arm. Fatigue..is it just normal for old age?
Release 12 — 6 months, dose 4
Symptoms: Gtoin, hip and low back pain. Walking is difficult. Waiting for bone density test.
Release 12 — day 14, dose 5
Symptoms: Right hip pain quite painful and difficult to move freely.
Release 12 — day 42, dose 5
Symptoms: RSV
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 | Atypical pneumonia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | · | · | ✓ |
| SD | Gait disturbance | · | · | ✓ |
| SD | Groin pain | · | · | ✓ |
| SD | Hunger | · | · | ✓ |
| SD | Hypotension | · | · | ✓ |
| SD | Injection site erythema | ✓ | ✓ | ✓ |
| SD | Injection site pain | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Osteoarthritis | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Palpitations | · | · | ✓ |
| SD | Respiratory syncytial virus infection | · | · | ✓ |
| SD | Testicular swelling | ✓ | ✓ | ✓ |
| SD | Transient ischaemic attack | · | · | ✓ |
| SRO | Autoimmune disorder | ✓ | ✓ | ○ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release