3T7-91733-55006
4 vaccinations
5 coded responses
19 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 921 / CA
- Registered
- 2021-02-01
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-01
Registered in v-safe
-
2021-02-01
Dose 1 — Moderna
-
2021-02-02
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Fatigue or tirednessFree text: Arm slightly soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-04
Survey response — days 1–6 daily, dose 1MedDRA: Adverse reaction — Feeling: GoodFree text: Yes I have to change my 2 nd dose Moderna time on 3/1 to 11:30 or later due to another appointment I didnt realize I had. How should I do that? Thank you! (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-15
- 2021-02-24
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2021-03-01
Survey response — day 28, dose 1MedDRA: Headache — Feeling: FairFree text: Dull headaches off and on for several days - maybe 4 of the last 6-7 days. Located in left temple area. I typically dont get headaches so Im wondering if they might be COVID vaccine- related.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-09
Dose 2 — Moderna
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2021-03-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-11
- 2021-03-13
- 2021-03-16
- 2021-03-23
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2021-04-01
Survey response — day 21, dose 2MedDRA: Headache, Self-medication — Feeling: FairFree text: Slight headache off and Oliver past few days- twice I had to take Advil to resolveMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-20
- 2021-09-09
-
2021-11-18
Dose 3 — Moderna
-
2022-07-13
Dose 4 — Moderna
-
2022-07-13
Survey response — day 0, dose 4MedDRA: Fatigue, Headache, SARS-CoV-2 test negative, Sneezing — Feeling: Good · Headache, Fatigue or tirednessFree text: Above symptoms (HA, Fatigue light. Just started sneezing- which I did yesterday before 2nd booster. But my home Covid test was negative so I got booster.MedDRA releases: 2024-11 · check-in free text available
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2022-07-14
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Redness · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-15
-
2022-07-16
Health check-in — days 1–6 daily, dose 4Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-07-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-01 | Moderna | |
| 2 | 2021-03-09 | Moderna | |
| 3 | 2021-11-18 | Moderna | No |
| 4 | 2022-07-13 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Arm slightly sore
Systemic reaction (other): Yes I have to change my 2 nd dose Moderna time on 3/1 to 11:30 or later due to another appointment I didnt realize I had. How should I do that? Thank you! (b)(6)
redacted (b)(6)
Release 4 — day 28, dose 1
Symptoms: Dull headaches off and on for several days - maybe 4 of the last 6-7 days. Located in left temple area. I typically dont get headaches so Im wondering if they might be COVID vaccine- related.
Release 6 — day 21, dose 2
Symptoms: Slight headache off and Oliver past few days- twice I had to take Advil to resolve
Release 12 — day 0, dose 4
Systemic reaction (other): Above symptoms (HA, Fatigue light. Just started sneezing- which I did yesterday before 2nd booster. But my home Covid test was negative so I got booster.
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 | Headache | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Adverse reaction | ✓ | ✓ | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | SARS-CoV-2 test negative | · | · | ✓ |
| SRO | Sneezing | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release