3QT-13900-17867
2 vaccinations
6 coded responses
24 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 837 / ID
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-15
Registered in v-safe
-
2021-03-15
Dose 1 — Moderna
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2021-03-15
Survey response — day 0, dose 1MedDRA: Chills, Feeling hot, Hyperhidrosis — Feeling: Poor · Site: Pain · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Hot & sweaty sometimes, then chillsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-16
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Was light headed this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
- 2021-03-19
- 2021-03-20
- 2021-03-21
- 2021-03-22
- 2021-03-29
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2021-04-05
Survey response — day 21, dose 1MedDRA: Muscle strain — Feeling: FairFree text: Bicept area in arm that reiceved the shot feels strained. I have not done anything very strenious. Just not the norm for me. Don't know if it's related to the vaccine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-12
Dose 2 — Moderna
- 2021-04-12
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2021-04-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Dehydration — Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessFree text: I forgot to mention yesterday that i have felt deydrated. Yesterday & today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
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2021-04-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-04-17
- 2021-04-19
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2021-04-26
Survey response — day 14, dose 2MedDRA: Myalgia — Feeling: FairFree text: Muscles in arm are sore. Hurts some, don't know why.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-10
- 2021-05-17
- 2021-05-24
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2021-07-12
Survey response — 3 months, dose 2MedDRA: Dizziness, Headache — Feeling: Good · Be unable to work or attend schoolFree text: Headaches more than normal & light headed a few times. Had an MRI done. Dr. said everything looked normal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-10-11
- 2022-04-12
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-15 | Moderna | |
| 2 | 2021-04-12 | Moderna |
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Hot & sweaty sometimes, then chills
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Was light headed this morning.
Release 6 — day 21, dose 1
Symptoms: Bicept area in arm that reiceved the shot feels strained. I have not done anything very strenious. Just not the norm for me. Don't know if it's related to the vaccine.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I forgot to mention yesterday that i have felt deydrated. Yesterday & today.
Release 8 — day 14, dose 2
Symptoms: Muscles in arm are sore. Hurts some, don't know why.
Release 9 — 3 months, dose 2
Symptoms: Headaches more than normal & light headed a few times. Had an MRI done. Dr. said everything looked normal.
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 | Dizziness | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Muscle strain | ✓ | ✓ | ✓ |
| SD | Myalgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Dehydration | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling hot | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release