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3PW-32294-64891

2 vaccinations 2 coded responses 20 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
863 / AZ
Registered
2021-02-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-14
    Dose 1 — Moderna
  2. 2021-02-15
    Registered in v-safe
  3. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  4. 2021-02-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I had Covid in early December. I am recommending that you add this question to your follow-up. My symptoms after this vaccine were worse than having Covid. I bieve that there is a direct correlation to the effects of the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  6. 2021-02-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  7. 2021-02-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-21
    Health check-in — day 7, dose 1
    Feeling: Good · Headache
    Adult check-in
  10. 2021-02-28
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-14
    Dose 2 — Moderna
  12. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Myalgia, Pyrexia, Self-medication, Tremor — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: 12 hrs after my vaccine I woke up with a 101.3 fever and uncontrollable shaking and chills. My stomach muscles were so sore all day yesterday that I did not eat much. I drank plenty of fluids and took my Tylenol dosage every 4 hours.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-03-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  15. 2021-03-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  16. 2021-03-21
    Health check-in — day 7, dose 2
    Feeling: Good · Headache
    Adult check-in
  17. 2021-03-28
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-04
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-11
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-18
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-25
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-06-14
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-09-12
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-14Moderna
22021-03-14Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-16

Systemic reaction (other): I had Covid in early December. I am recommending that you add this question to your follow-up. My symptoms after this vaccine were worse than having Covid. I bieve that there is a direct correlation to the effects of the vaccine.

Release 5 — days 1–6 daily, dose 2

2021-03-16

Systemic reaction (other): 12 hrs after my vaccine I woke up with a 101.3 fever and uncontrollable shaking and chills. My stomach muscles were so sore all day yesterday that I did not eat much. I drank plenty of fluids and took my Tylenol dosage every 4 hours.

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
SROAdverse reaction ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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