474-20075-38553
5 vaccinations
6 coded responses
64 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 208 / MD
- Registered
- 2021-02-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-25
Dose 1 — Moderna
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2021-02-26
Registered in v-safe
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2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-02-27
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-04
- 2021-03-11
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2021-03-19
Survey response — day 21, dose 1MedDRA: Injection site pruritus, Injection site rash, Rash pruritic, Self-medication — Feeling: GoodFree text: At some point I had a mild itchy rash on one side of injection site. Not right away. Used cortisone cream. It was not serious and only noticed it after my arm was itchy. Not sure when it began. Now mostly gone.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-25
Dose 2 — Moderna
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2021-03-25
Health check-in — day 0, dose 2Feeling: Poor · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Difficulty sleeping through the night.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Nausea — Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: I am unsure if the nausea, which didn't start until yesterday evening and was worse today, is related to the shot. Also, I made a mistake yesterday when I said I had no fatigue because I still had periods of fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Health check-in — day 7, dose 2Feeling: Poor · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-04-08
Survey response — day 14, dose 2MedDRA: Dizziness, Fatigue, Medical counselling, Nausea — Feeling: Poor · Be unable to do your normal daily activitiesFree text: The nausea that began on March 30 has continued through today. Many times severe. Also feel some lightheadedness today. At times have felt fatigue. I consulted with my doctor yesterday; she thinks all these sequential symptoms are a shot reaction.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-24
- 2021-04-30
- 2021-05-06
- 2021-06-24
- 2021-09-24
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2021-11-12
Dose 3 — Moderna
- 2021-11-12
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2021-11-13
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain · Chills, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-11-14
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2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-16
Survey response — days 1–6 daily, dose 3MedDRA: Chills, Feeling abnormal — Feeling: Poor · Nausea · Be unable to do your normal daily activitiesFree text: Head feels weird, some chills tthis afternoonMedDRA releases: 2024-11 · check-in free text available
- 2021-11-17
- 2021-11-19
- 2021-11-26
- 2021-12-04
- 2021-12-10
- 2021-12-17
- 2021-12-24
- 2022-02-11
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2022-06-24
Dose 4 — Moderna
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2022-06-25
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-06-26
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2022-06-27
- 2022-06-28
- 2022-06-29
- 2022-06-30
- 2022-07-01
- 2022-07-08
- 2022-07-16
- 2022-07-22
- 2022-07-29
- 2022-08-05
- 2022-09-24
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2022-10-26
Dose 5 — Moderna
- 2022-10-26
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2022-10-27
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2022-10-28
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
- 2022-10-29
- 2022-10-30
- 2022-10-31
- 2022-11-01
- 2022-11-02
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2022-11-09
Survey response — day 14, dose 5MedDRA: Chest discomfort, Nasopharyngitis, Throat irritation — Feeling: FairFree text: I keep feeling as though I am getting a cold, then it goes away. Scratchy throat, some chest pressure, etc. I may have had it before the shot, and it could be from too much dust being kicked up in house.MedDRA releases: 2024-11 · check-in free text available
- 2022-11-16
- 2022-11-23
- 2022-11-30
- 2022-12-07
- 2023-01-25
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-25 | Moderna | |
| 3 | 2021-11-12 | Moderna | No |
| 4 | 2022-06-24 | Moderna | No |
| 5 | 2022-10-26 | Moderna | No |
Free text
Release 5 — day 21, dose 1
Symptoms: At some point I had a mild itchy rash on one side of injection site. Not right away. Used cortisone cream. It was not serious and only noticed it after my arm was itchy. Not sure when it began. Now mostly gone.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Difficulty sleeping through the night.
Systemic reaction (other): I am unsure if the nausea, which didn't start until yesterday evening and was worse today, is related to the shot. Also, I made a mistake yesterday when I said I had no fatigue because I still had periods of fatigue.
Release 7 — day 14, dose 2
Symptoms: The nausea that began on March 30 has continued through today. Many times severe. Also feel some lightheadedness today. At times have felt fatigue. I consulted with my doctor yesterday; she thinks all these sequential symptoms are a shot reaction. cut off by CDC
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Head feels weird, some chills tthis afternoon
Release 12 — day 14, dose 5
Symptoms: I keep feeling as though I am getting a cold, then it goes away. Scratchy throat, some chest pressure, etc. I may have had it before the shot, and it could be from too much dust being kicked up in house.
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 | Chest discomfort | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Injection site pruritus | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Medical counselling | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Rash pruritic | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SD | Throat irritation | · | · | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release