3J4-13017-32963
5 vaccinations
7 coded responses
55 check-ins
6 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 907 / CA
- Registered
- 2021-03-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-24
Registered in v-safe
-
2021-03-24
Dose 1 — Moderna
- 2021-03-24
- 2021-03-25
-
2021-03-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-28
- 2021-03-29
- 2021-03-30
-
2021-03-31
Survey response — day 7, dose 1MedDRA: Poor quality sleep — Feeling: Fair · Fatigue or tirednessFree text: Slept poorly, probably nothing to do with the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-07
Survey response — day 14, dose 1MedDRA: Condition aggravated, Headache, Migraine, Pre-existing disease — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Probably unrelated to vaccine, I have chronic spinal issues and am having a flair up, also headaches, including a migraine a few days ago. Again, probably no vaccine related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-14
-
2021-04-21
Dose 2 — Moderna
- 2021-04-21
-
2021-04-22
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-23
- 2021-04-24
- 2021-04-25
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-05-26
- 2021-06-02
- 2021-07-21
- 2021-10-24
-
2021-11-19
Dose 3 — Moderna
-
2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue — Feeling: Good · Site: PainFree text: Fatigue yesterday, took a 2 hour nap. Back to normal today.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-22
- 2021-11-23
- 2021-11-24
- 2021-11-25
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2021-12-31
- 2022-02-18
-
2022-04-19
Dose 4 — Moderna
- 2022-05-15
- 2022-05-19
- 2022-05-24
- 2022-05-31
- 2022-07-19
-
2022-09-21
Dose 5 — Moderna
-
2022-09-22
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2022-09-23
- 2022-09-24
- 2022-09-25
-
2022-09-26
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-09-27
-
2022-09-28
Survey response — day 7, dose 5MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-10-05
- 2022-10-12
- 2022-10-19
- 2022-10-26
- 2022-11-02
-
2022-12-21
Survey response — 3 months, dose 5MedDRA: Ageusia, Cough, Nasopharyngitis, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had what seemed to be a bad cold. Congestion and coughing with no fever and no body aches. I lost my sense of taste and got a PCR test which was negative as were my home tests. I was fully recovered in about 10 days.MedDRA releases: 2024-11 · check-in free text available
-
2023-03-22
Survey response — 6 months, dose 5MedDRA: Cough, Laryngitis, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationMedDRA releases: 2024-11
-
2023-03-22
Report sent to call center — 6 months, dose 5Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
- 2023-03-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-24 | Moderna | |
| 2 | 2021-04-21 | Moderna | |
| 3 | 2021-11-19 | Moderna | No |
| 4 | 2022-04-19 | Moderna | No |
| 5 | 2022-09-21 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — day 7, dose 1
Systemic reaction (other): Slept poorly, probably nothing to do with the vaccine.
Release 7 — day 14, dose 1
Symptoms: Probably unrelated to vaccine, I have chronic spinal issues and am having a flair up, also headaches, including a migraine a few days ago. Again, probably no vaccine related.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fatigue yesterday, took a 2 hour nap. Back to normal today.
Release 12 — days 1–6 daily, dose 5
Release 12 — day 7, dose 5
Release 12 — 3 months, dose 5
Symptoms: I had what seemed to be a bad cold. Congestion and coughing with no fever and no body aches. I lost my sense of taste and got a PCR test which was negative as were my home tests. I was fully recovered in about 10 days.
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 | Ageusia | · | · | ✓ |
| SD | Condition aggravated | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Laryngitis | · | · | ✓ |
| SD | Migraine | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Poor quality sleep | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release