3PK-30322-68192
2 vaccinations
3 coded responses
24 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 549 / WI
- Registered
- 2021-03-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-10
Registered in v-safe
-
2021-03-10
Dose 1 — Moderna
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-13
- 2021-03-14
- 2021-03-15
- 2021-03-17
- 2021-04-01
-
2021-04-07
Dose 2 — Moderna
- 2021-04-07
-
2021-04-08
Survey response — days 1–6 daily, dose 2MedDRA: Arthralgia, Decreased appetite, Headache, Laziness, Neck pain, Pain in extremity, Self-medication, Somnolence — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tirednessFree text: Loss of appetite but not sick to my stomach nor no stomach pain. Headache and body aches just in left arm and upper neck and shoulders, got better with Tylenol. Just kind of a lazy feeling but did not really sleep all day, just dozed off for about 20 min.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-09
Survey response — days 1–6 daily, dose 2MedDRA: Apathy, Asthenia — Feeling: Good · Muscle or body aches, Fatigue or tirednessFree text: Still feel more just lazy then tired. Did not nap or sleep but just not motivated to do anything major either.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-10
- 2021-04-11
- 2021-04-12
- 2021-04-13
-
2021-04-14
Survey response — day 7, dose 2MedDRA: Rash, Rash erythematous — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: Little blotchy patches of red rash couple on face and arms. Not sure if its vaccine related, does not hurt, just appeared from no where.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-21
- 2021-04-28
- 2021-05-05
- 2021-05-12
- 2021-05-19
- 2021-07-07
- 2021-10-06
- 2022-04-08
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-10 | Moderna | |
| 2 | 2021-04-07 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): Loss of appetite but not sick to my stomach nor no stomach pain. Headache and body aches just in left arm and upper neck and shoulders, got better with Tylenol. Just kind of a lazy feeling but did not really sleep all day, just dozed off for about 20 min.
Systemic reaction (other): Still feel more just lazy then tired. Did not nap or sleep but just not motivated to do anything major either.
Release 7 — day 7, dose 2
Systemic reaction (other): Little blotchy patches of red rash couple on face and arms. Not sure if its vaccine related, does not hurt, just appeared from no where.
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 |
|---|---|---|---|---|
| SRO | Apathy | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Decreased appetite | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Laziness | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Rash | ✓ | ✓ | ✓ |
| SRO | Rash erythematous | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release