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47J-17274-01672

2 vaccinations 7 coded responses 13 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
46-50
ZIP prefix
105 / NY
Registered
2021-01-30
Relationship
Self
Race
Other
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-02
    Dose 1 — Moderna
  2. 2021-01-30
    Registered in v-safe
  3. 2021-01-30
    Dose 2 — Moderna
  4. 2021-01-30
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: Retching, Tachycardia — Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Free text: Tachycardia, dry heaves 88 min after last check. Wanted to report. No lymphadenopathy that I had last time w right submental lymphadenopathy after 1st shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Joint pains, Fatigue or tiredness
    Adult check-in
  7. 2021-02-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-02-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Chills, Fatigue or tiredness
    Adult check-in
  9. 2021-02-06
    Survey response — day 7, dose 2
    MedDRA: Therapeutic response unexpected — Feeling: Fair · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Went 47 days without menstruation finallu came. I am every regular every 25 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-02-13
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Headache — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Frontal headache. Like migraine. Worst HA of my life. On Day 8 Sunday of last week. Extreme exhaustion. And all week HA.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-08
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Night sweats — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue and tired. In addition to night sweats.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-13
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Hypertension — Feeling: Fair · Be unable to do your normal daily activities
    Free text: More fatigue. Never have been tired a day in life until after the shot. Have HTN. Never had that. BP is usually 110/70.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-01
    Survey response — 3 months, dose 2
    MedDRA: Fatigue — Feeling: Fair
    Free text: Tired all the time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-07-31
    Survey response — 6 months, dose 2
    MedDRA: Amnesia, Blood pressure increased, Fatigue, Headache, Heart rate increased, Hypertension, Immediate post-injection reaction — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Chronic HA & chronic tiredness w/some memory loss. Now have HTN that comes and goes. Bp HR was below 120/80 and below 80. Right after vaccine HR in 100s now 85 & BP 130/85 to 140/90. Memory loss is misplacing keys & getting lost (never get lost).
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  16. 2022-01-30
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-02Moderna
22021-01-30Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-31

Systemic reaction (other): Tachycardia, dry heaves 88 min after last check. Wanted to report. No lymphadenopathy that I had last time w right submental lymphadenopathy after 1st shot.

Release 3 — day 7, dose 2

2021-02-06

Systemic reaction (other): Went 47 days without menstruation finallu came. I am every regular every 25 days.

Release 4 — day 14, dose 2

2021-02-13

Symptoms: Frontal headache. Like migraine. Worst HA of my life. On Day 8 Sunday of last week. Extreme exhaustion. And all week HA.

Release 5 — day 35, dose 2

2021-03-08

Symptoms: Fatigue and tired. In addition to night sweats.

Release 5 — day 42, dose 2

2021-03-13

Symptoms: More fatigue. Never have been tired a day in life until after the shot. Have HTN. Never had that. BP is usually 110/70.

Release 8 — 3 months, dose 2

2021-05-01

Symptoms: Tired all the time.

Release 9 — 6 months, dose 2

2021-07-31

Symptoms: Chronic HA & chronic tiredness w/some memory loss. Now have HTN that comes and goes. Bp HR was below 120/80 and below 80. Right after vaccine HR in 100s now 85 & BP 130/85 to 140/90. Memory loss is misplacing keys & getting lost (never get lost).

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
SDAmnesia ✓ · ✓
SDBlood pressure increased ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHeart rate increased ✓ · ✓
SDHypertension ✓ ✓ ✓
SDImmediate post-injection reaction ✓ · ✓
SDNight sweats ✓ ✓ ✓
SRORetching ✓ ✓ ✓
SROTachycardia ✓ ✓ ✓
SROTherapeutic response unexpected ✓ ✓ ✓

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

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