42Q-13801-62508
4 vaccinations
3 coded responses
36 check-ins
3 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 602 / IL
- Registered
- 2021-04-28
- Relationship
- Self
- Race
- Asian
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-16
Dose 1 — Moderna
-
2021-04-28
Registered in v-safe
- 2021-04-28
-
2021-04-30
Survey response — day 14, dose 1MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Tired all day yesterday but I am fine now.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-07
-
2021-05-12
Dose 2 — Moderna
- 2021-05-12
-
2021-05-13
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
- 2021-05-14
-
2021-05-15
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Redness, Itching · NoneAdult check-in
- 2021-05-16
- 2021-05-17
- 2021-05-18
- 2021-05-19
-
2021-05-26
Survey response — day 14, dose 2MedDRA: Cardiac discomfort, Heart rate increased — Feeling: GoodFree text: I felt my heart tightening. It wasn't my chest area. It was literally my heart, very concentrated, and it went away after about 2-3 seconds. Happened twice accompanied by faster heartbeat. Otherwise i am fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-09
- 2021-06-16
- 2021-06-23
- 2021-08-11
- 2021-11-12
-
2021-12-09
Dose 3 — Moderna
-
2021-12-09
Health check-in — day 0, dose 3Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-12-10
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-12-11
- 2021-12-12
- 2021-12-14
- 2021-12-15
- 2021-12-16
-
2021-12-23
Survey response — day 14, dose 3MedDRA: Cough, Dizziness, Fatigue, Mobility decreased — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Dizzy, fatigue for past few days. Also coughing, though that could just be dry air. Then it hit me yesterday, and had to stay in bed and sleep. Feeling much better today.MedDRA releases: 2024-11 · check-in free text available
- 2021-12-30
- 2022-01-06
- 2022-01-13
- 2022-01-20
- 2022-03-10
-
2022-04-14
Dose 4 — Moderna
- 2022-04-19
- 2022-04-20
- 2022-04-21
- 2022-04-28
- 2022-05-05
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-16 | Moderna | |
| 2 | 2021-05-12 | Moderna | |
| 3 | 2021-12-09 | Moderna | No |
| 4 | 2022-04-14 | Moderna | No |
Free text
Release 8 — day 14, dose 1
Symptoms: Tired all day yesterday but I am fine now.
Release 8 — day 14, dose 2
Symptoms: I felt my heart tightening. It wasn't my chest area. It was literally my heart, very concentrated, and it went away after about 2-3 seconds. Happened twice accompanied by faster heartbeat. Otherwise i am fine.
Release 10 — day 14, dose 3
Symptoms: Dizzy, fatigue for past few days. Also coughing, though that could just be dry air. Then it hit me yesterday, and had to stay in bed and sleep. Feeling much better today.
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 | Cardiac discomfort | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Heart rate increased | ✓ | ✓ | ✓ |
| SD | Mobility decreased | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release