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42Y-30704-11253

4 vaccinations 21 coded responses 53 check-ins 21 free-text entries 1 call case
Sex
Female
Age at first dose
56-60
ZIP prefix
395 / MS
Registered
2021-01-29
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Registered in v-safe
  2. 2021-01-29
    Dose 1 — Moderna
  3. 2021-01-29
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-31
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Headache
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-02
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness — Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Fatigue or tiredness
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Abdominal pain
    Adult check-in
  8. 2021-02-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Abdominal pain
    Adult check-in
  9. 2021-02-05
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Abdominal pain
    Adult check-in
  10. 2021-02-12
    Survey response — day 14, dose 1
    MedDRA: Dizziness — Feeling: Fair
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-26
    Dose 2 — Moderna
  13. 2021-02-26
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activities
    Free text: DIZZINESS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: DIZZINESS
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Nausea
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  19. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  20. 2021-03-05
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Fair · Site: Pain · Headache, Nausea
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-03-12
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-03-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-26
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Insomnia — Feeling: Fair
    Free text: FatigueInsomia
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-04-02
    Survey response — day 35, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: Dizziness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-09
    Survey response — day 42, dose 2
    MedDRA: Pain in extremity — Feeling: Good
    Free text: Leg pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-05-28
    Survey response — 3 months, dose 2
    MedDRA: Arthralgia, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Pain in shoulder & calf of leg both left side
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-08-27
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  28. 2021-11-12
    Dose 3 — Moderna
  29. 2021-11-13
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  30. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-15
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-16
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Adult check-in
  33. 2021-11-17
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site
    Adult check-in
  34. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness, Nausea, Abdominal pain, Rash, not including the immediate area around the injection site
    Adult check-in
  35. 2021-11-19
    Health check-in — day 7, dose 3
    Feeling: Fair · Muscle or body aches, Fatigue or tiredness, Abdominal pain, Rash, not including the immediate area around the injection site
    Adult check-in
  36. 2021-11-26
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  37. 2021-12-04
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  38. 2021-12-11
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  39. 2021-12-17
    Survey response — day 35, dose 3
    MedDRA: Arthralgia, Pain in extremity, Rash — Feeling: Fair
    Free text: Rash and hip and leg pain
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-24
    Survey response — day 42, dose 3
    MedDRA: Fatigue, Rash — Feeling: Fair
    Free text: RASH & EXTREME FATIGUE
    MedDRA releases: 2024-11 · check-in free text available
  41. 2022-02-12
    Survey response — 3 months, dose 3
    MedDRA: Decreased appetite, Fatigue, Pain — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visit
    Free text: Pain, fatigue, loss of appetite
    MedDRA releases: 2024-11 · check-in free text available
  42. 2022-02-12
    Report sent to call center — 3 months, dose 3
    Be unable to work or attend school · Be unable to do your normal daily activities · Get care from a doctor or other healthcare pr
    Outpatient clinic or urgent care clinic visit · 1 call case(s)
  43. 2022-02-16
  44. 2022-05-13
    Survey response — 6 months, dose 3
    MedDRA: Flank pain — Feeling: Fair
    Free text: Pain in lower right side
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-07-02
    Dose 4 — Moderna
  46. 2022-07-02
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain, Swelling · None
    Adult check-in
  47. 2022-07-03
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Headache, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  48. 2022-07-04
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea
    Adult check-in
  49. 2022-07-05
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness
    Adult check-in
  50. 2022-07-06
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  51. 2022-07-07
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  52. 2022-07-08
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Rash, not including the immediate area around the injection site
    Adult check-in
  53. 2022-07-09
    Health check-in — day 7, dose 4
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  54. 2022-07-16
    Survey response — day 14, dose 4
    MedDRA: Contusion, Fatigue, Rash — Feeling: Fair
    Free text: Bruises on opposite arm of Covid booster where my first Shingles shot was given back in Dec 2020 and still have rash and fatigue
    MedDRA releases: 2024-11 · check-in free text available
  55. 2022-07-23
    Health check-in — day 21, dose 4
    Feeling: Fair
    Adult check-in
  56. 2022-07-30
    Survey response — day 28, dose 4
    MedDRA: Fatigue, Myalgia — Feeling: Fair
    Free text: Fatigue Muscle pain
    MedDRA releases: 2024-11 · check-in free text available
  57. 2022-08-06
    Survey response — day 35, dose 4
    MedDRA: Contusion — Feeling: Good
    Free text: RED BLOOD LOOKING BRUISE ON LEFT ARM BUT NOT FROM HITTING INTO ANYTHING BUT BRUISE JUST APPEARED YESTERDAY
    MedDRA releases: 2024-11 · check-in free text available
  58. 2022-08-13
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  59. 2022-10-01
    Survey response — 3 months, dose 4
    MedDRA: Dizziness, Eye pain, Vision blurred — Feeling: Fair
    Free text: Blurry vision, eye pain, dizziness
    MedDRA releases: 2024-11 · check-in free text available
  60. 2022-12-31
    Health check-in — 6 months, dose 4
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna
32021-11-12Moderna No
42022-07-02Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 3 — days 1–6 daily, dose 1

2021-01-30

Systemic reaction (other): Dizziness

2021-01-31

Systemic reaction (other): Dizziness

2021-02-02

Systemic reaction (other): Dizziness

Release 4 — day 14, dose 1

2021-02-12

Symptoms: Dizziness

Release 4 — days 1–6 daily, dose 2

2021-02-27

Systemic reaction (other): DIZZINESS

2021-02-28

Systemic reaction (other): DIZZINESS

2021-03-01

Systemic reaction (other): Dizziness

2021-03-02

Systemic reaction (other): Dizziness

Release 5 — day 7, dose 2

2021-03-05

Systemic reaction (other): Dizziness

Release 6 — day 28, dose 2

2021-03-26

Symptoms: FatigueInsomia

Release 6 — day 35, dose 2

2021-04-02

Symptoms: Dizziness

Release 7 — day 42, dose 2

2021-04-09

Symptoms: Leg pain

Release 8 — 3 months, dose 2

2021-05-28

Symptoms: Pain in shoulder & calf of leg both left side

Release 10 — day 35, dose 3

2021-12-17

Symptoms: Rash and hip and leg pain

Release 10 — day 42, dose 3

2021-12-24

Symptoms: RASH & EXTREME FATIGUE

Release 11 — 3 months, dose 3

2022-02-12

Symptoms: Pain, fatigue, loss of appetite

Release 11 — 6 months, dose 3

2022-05-13

Symptoms: Pain in lower right side

Release 12 — day 14, dose 4

2022-07-16

Symptoms: Bruises on opposite arm of Covid booster where my first Shingles shot was given back in Dec 2020 and still have rash and fatigue

Release 12 — day 28, dose 4

2022-07-30

Symptoms: Fatigue Muscle pain

Release 12 — day 35, dose 4

2022-08-06

Symptoms: RED BLOOD LOOKING BRUISE ON LEFT ARM BUT NOT FROM HITTING INTO ANYTHING BUT BRUISE JUST APPEARED YESTERDAY

Release 12 — 3 months, dose 4

2022-10-01

Symptoms: Blurry vision, eye pain, dizziness

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

FieldPreferred term2021-092023-042024-11
SDArthralgia ✓ ✓ ✓
SDContusion · · ✓
SDDecreased appetite · · ✓
SDDizziness ✓ ✓ ✓
SDEye pain · · ✓
SDFatigue ✓ ✓ ✓
SDFlank pain · · ✓
SDInsomnia ✓ ✓ ✓
SDMyalgia · · ✓
SDPain · · ✓
SDPain in extremity ✓ ✓ ✓
SDRash · · ✓
SDVision blurred · · ✓
SRODizziness ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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