49S-20556-06903
4 vaccinations
7 coded responses
43 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 606 / IL
- Registered
- 2021-04-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-11
Registered in v-safe
-
2021-04-11
Dose 1 — Moderna
- 2021-04-11
- 2021-04-12
- 2021-04-13
- 2021-04-14
- 2021-04-16
- 2021-04-17
- 2021-04-19
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2021-04-25
Survey response — day 14, dose 1MedDRA: Chills, Dizziness, Fatigue, Nausea, Oral herpes — Feeling: FairFree text: Fatigue on days 9-14, slight dizziness days 8-9, cold sore breakout days 9-14, slight chills days 8-11, slight nausea day 10.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-02
Survey response — day 21, dose 1MedDRA: Chills, Dizziness, Energy increased, Headache, Lethargy, Nasal mucosal discolouration — Feeling: FairFree text: Waves of energy and lethargy, slight dizziness, chills, headaches, green-tinged nasal mucus,MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-05-08
Dose 2 — Moderna
- 2021-05-08
-
2021-05-09
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
-
2021-05-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Chills, Headache, Muscle or body aches, Fatigue or tiredness, DiarrheaAdult check-in
- 2021-05-11
-
2021-05-12
Survey response — days 1–6 daily, dose 2MedDRA: Rhinorrhoea, Sinus disorder, Tinnitus — Feeling: Good · ChillsFree text: Sniffing/sinus and ear ringingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-13
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2021-05-14
Survey response — days 1–6 daily, dose 2MedDRA: Oral herpes, Pre-existing disease — Feeling: Good · Chills, HeadacheFree text: Oral Cold sore flare upMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-15
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Fever · Chills, Fatigue or tirednessAdult check-in
- 2021-05-22
- 2021-05-29
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2021-06-05
Survey response — day 28, dose 2MedDRA: Lethargy — Feeling: GoodFree text: LethargyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-12
- 2021-06-19
- 2021-08-07
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2021-11-06
Dose 3 — Moderna
- 2021-11-06
- 2021-11-06
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2021-11-07
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, DiarrheaAdult check-in
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2021-11-08
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Fever · Headache, Fatigue or tiredness, Diarrhea · Be unable to work or attend schoolAdult check-in
-
2021-11-09
Health check-in — days 1–6 daily, dose 3Feeling: Good · Fatigue or tiredness, Diarrhea, Abdominal painAdult check-in
- 2021-11-11
- 2021-11-12
- 2021-11-13
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-11
- 2021-12-18
- 2022-02-05
- 2022-05-08
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2022-09-13
Dose 4 — Moderna
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2022-10-06
Survey response — day 21, dose 4MedDRA: Asthenia, Condition aggravated, Pre-existing disease — Feeling: FairFree text: Lethargic. Increased immediately after 2nd booster. Still feel like I have no energyMedDRA releases: 2024-11 · check-in free text available
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2022-10-11
Survey response — day 28, dose 4MedDRA: Headache, Lethargy — Feeling: FairFree text: Lethargy is constant. Headaches more than usualMedDRA releases: 2024-11 · check-in free text available
- 2022-10-18
- 2022-10-25
- 2023-03-14
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-11 | Moderna | |
| 2 | 2021-05-08 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-09-13 | Moderna | No |
Free text
Release 7 — day 14, dose 1
Symptoms: Fatigue on days 9-14, slight dizziness days 8-9, cold sore breakout days 9-14, slight chills days 8-11, slight nausea day 10.
Release 8 — day 21, dose 1
Symptoms: Waves of energy and lethargy, slight dizziness, chills, headaches, green-tinged nasal mucus,
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Sniffing/sinus and ear ringing
Systemic reaction (other): Oral Cold sore flare up
Release 8 — day 28, dose 2
Symptoms: Lethargy
Release 12 — day 21, dose 4
Symptoms: Lethargic. Increased immediately after 2nd booster. Still feel like I have no energy
Release 12 — day 28, dose 4
Symptoms: Lethargy is constant. Headaches more than usual
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 | Asthenia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Condition aggravated | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Energy increased | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Lethargy | ✓ | ✓ | ✓ |
| SD | Nasal mucosal discolouration | ✓ | ✓ | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oral herpes | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Sinus disorder | · | · | ✓ |
| SRO | Tinnitus | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release