3U9-57070-26025
2 vaccinations
3 coded responses
10 check-ins
3 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 172 / PA
- Registered
- 2021-03-20
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-19
Dose 1 — Moderna
-
2021-03-20
Registered in v-safe
-
2021-03-20
Survey response — days 1–6 daily, dose 1MedDRA: Hypersomnia, Pre-existing disease, Self-medication — Feeling: GoodFree text: After shot, just drove home, ran vacuum, took tylenol & ibuprofen alternating after shot & slept for about 15 hrs afterwards, but had a hectic work week. Had bad headache all day BEFORE shot, minutes later after injection headache went away, but did return 4 hrs later. Slept, took took mentioned otc meds & next day around 3 pm felt totally fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-21
- 2021-03-23
- 2021-03-24
-
2021-03-28
Health check-in — day 7, dose 1Feeling: Fair · Headache, Joint pains, Muscle or body achesAdult check-in
-
2021-04-04
Survey response — day 14, dose 1MedDRA: Exposure to SARS-CoV-2, Feeling abnormal, Unevaluable event — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Symptoms: Same as before but feel better yesterday & today · Healthcare visit (other): Was in close contact w/ coworker who tested positive. Felt bad, therefore I got tested SaturdayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-04
Report sent to call center — day 14, dose 1Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
- 2021-04-11
-
2021-04-16
Dose 2 — Moderna
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2021-04-17
Survey response — days 1–6 daily, dose 2MedDRA: Asthenia, Deafness, Dizziness, Fatigue — Feeling: Fair · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: weak, tired, woke overnight & tried to walk to kitchen for a drink and felt dizzy deaf and ears and thought I was going to pass out I held on to objects and returned to bed to sleep and didn't get any worse. Fell back to sleepMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-18
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-23
- 2021-06-15
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-19 | Moderna | |
| 2 | 2021-04-16 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): After shot, just drove home, ran vacuum, took tylenol & ibuprofen alternating after shot & slept for about 15 hrs afterwards, but had a hectic work week. Had bad headache all day BEFORE shot, minutes later after injection headache went away, but did return 4 hrs later. Slept, took took mentioned otc meds & next day around 3 pm felt totally fine.
Release 6 — day 14, dose 1
Symptoms: Same as before but feel better yesterday & today
Healthcare visit (other): Was in close contact w/ coworker who tested positive. Felt bad, therefore I got tested Saturday
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): weak, tired, woke overnight & tried to walk to kitchen for a drink and felt dizzy deaf and ears and thought I was going to pass out I held on to objects and returned to bed to sleep and didn't get any worse. Fell back to sleep
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 |
|---|---|---|---|---|
| HCVO | Exposure to SARS-CoV-2 | ✓ | ✓ | ✓ |
| HCVO | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Asthenia | ✓ | ✓ | ✓ |
| SRO | Deafness | ✓ | ✓ | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Hypersomnia | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release