3RM-20337-41715
2 vaccinations
5 coded responses
25 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 531 / WI
- Registered
- 2021-02-13
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-12
Dose 1 — Moderna
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2021-02-13
Registered in v-safe
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-14
Survey response — days 1–6 daily, dose 1MedDRA: Injection site paraesthesia, Paraesthesia — Feeling: Poor · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Forgot this yesterday, tingling at injection spot and in fingers of that same arm. Went away after a short time.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-15
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Heart rate increased — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Tried to do my usual 2 miles on the elliptical and treadmill but really tired fast. By 15 minutes I quit. Normally I'm fine doing this. ALSO Yesterday, I noticed my heart rate was higher than usual. Checked my pulse.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-16
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Joint pains, Fatigue or tirednessAdult check-in
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-26
- 2021-03-05
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2021-03-12
Dose 2 — Moderna
- 2021-03-12
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Tremor — Feeling: Poor · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe shaking last night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Survey response — days 1–6 daily, dose 2MedDRA: Alopecia, Dyspepsia — Feeling: Poor · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: After 1st dose, excessive hair loss. After this dose, heartburn first two days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-03-16
Survey response — days 1–6 daily, dose 2MedDRA: Hyperaesthesia teeth — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Teeth sensitivity other daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-17
- 2021-03-18
- 2021-03-19
- 2021-03-26
- 2021-04-02
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-06-11
- 2021-09-10
- 2022-03-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Forgot this yesterday, tingling at injection spot and in fingers of that same arm. Went away after a short time.
Systemic reaction (other): Tried to do my usual 2 miles on the elliptical and treadmill but really tired fast. By 15 minutes I quit. Normally I'm fine doing this. ALSO Yesterday, I noticed my heart rate was higher than usual. Checked my pulse.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Severe shaking last night.
Systemic reaction (other): After 1st dose, excessive hair loss. After this dose, heartburn first two days.
Systemic reaction (other): Teeth sensitivity other 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 |
|---|---|---|---|---|
| SRO | Alopecia | ✓ | ✓ | ✓ |
| SRO | Dyspepsia | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hyperaesthesia teeth | ✓ | ✓ | ✓ |
| SRO | Injection site paraesthesia | ✓ | ✓ | ✓ |
| SRO | Paraesthesia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release