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4AD-19682-50765

2 vaccinations 5 coded responses 12 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
930 / CA
Registered
2021-05-09
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-11
    Dose 1 — Moderna
  2. 2021-05-09
    Registered in v-safe
  3. 2021-05-09
    Dose 2 — Moderna
  4. 2021-05-09
    Health check-in — day 0, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-05-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Unevaluable event — Feeling: Fair · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: All mild, the fever looks normal but I run about 96.5° As usual.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-05-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Headache, Injection site erythema, Pyrexia — Feeling: Good · Site: Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Last evening my fever broke. Im tired and a headache, and my injection site is still red (that appeared yesterday).
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-05-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-05-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Diarrhoea — Feeling: Fair · Site: Redness, Itching · Headache, Diarrhea
    Free text: Ive had diarrhea since first day but didnt recognize it as a symptom until it didnt go away. (Its mild)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-05-15
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  10. 2021-05-18
    Survey response — day 7, dose 2
    MedDRA: Injection site bruising — Feeling: Good · Site: Redness, Itching · Fatigue or tiredness
    Free text: Bruising at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-05-23
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Hypersomnia — Feeling: Fair
    Free text: FATIGUE Man Im tired a lot a certain times of the day! Ive always enjoy 10 min shut eye, but Im sleeping an hour or more during the day now. Im forcing myself to get outside, maybe a walk.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-30
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  13. 2021-08-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-11-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2022-05-09
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-11Moderna
22021-05-09Moderna

Free text

Release 8 — days 1–6 daily, dose 2

2021-05-10

Systemic reaction (other): All mild, the fever looks normal but I run about 96.5° As usual.

2021-05-12

Systemic reaction (other): Last evening my fever broke. Im tired and a headache, and my injection site is still red (that appeared yesterday).

2021-05-14

Systemic reaction (other): Ive had diarrhea since first day but didnt recognize it as a symptom until it didnt go away. (Its mild)

Release 8 — day 7, dose 2

2021-05-18

Systemic reaction (other): Bruising at injection site

Release 8 — day 14, dose 2

2021-05-23

Symptoms: FATIGUE Man Im tired a lot a certain times of the day! Ive always enjoy 10 min shut eye, but Im sleeping an hour or more during the day now. Im forcing myself to get outside, maybe a walk.

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
SDFatigue ✓ ✓ ✓
SDHypersomnia ✓ ✓ ✓
SRODiarrhoea ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site erythema ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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