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4B3-10444-87075

5 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
201 / VA
Registered
2021-02-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-25
    Dose 1 — Moderna
  2. 2021-02-23
    Dose 2 — Moderna
  3. 2021-02-25
    Registered in v-safe
  4. 2021-02-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Dizziness, Fatigue, Headache, Pain — Feeling: Good · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: evening after shot, had chills, body and headache, dizzy, fatigue, lasting 24 hours
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gait disturbance, Insomnia, Limb discomfort, Musculoskeletal discomfort, Pain, Pain in extremity, Sleep disorder — Feeling: Good · Site: Pain · Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Woke in the night with discomfort in right leg joint where leg joins torso. Couldn't sleep. pain returned 15-30 minutes in the morning then again in the afternoon, causing some instability when walking.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Musculoskeletal discomfort — Feeling: Good · Site: Pain · Joint pains
    Free text: Very brief return of joint discomfort this morning. None before or after.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-02
    Survey response — day 7, dose 2
    MedDRA: Dizziness — Feeling: Good · Headache
    Free text: A little dizzy today
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-09
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-16
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-03-23
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-03-30
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-04-06
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-25
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-08-24
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-11-08
    Dose 3 — Moderna
  18. 2022-02-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  19. 2022-05-09
    Dose 4 — Moderna
  20. 2022-09-09
    Dose 5 — Moderna
  21. 2022-09-24
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  22. 2022-09-30
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  23. 2022-10-07
    Health check-in — day 28, dose 5
    Feeling: Good
    Adult check-in
  24. 2022-10-14
    Survey response — day 35, dose 5
    MedDRA: Abdominal discomfort, Asthenia, Malaise — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Post flu shot malaise a week ago. Past two days, intestinal upset, low energy.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-10-21
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in
  26. 2022-12-09
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  27. 2023-03-10
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-25Moderna
22021-02-23Moderna
32021-11-08Moderna No
42022-05-09Moderna No
52022-09-09Moderna No

Free text

Release 4 — days 1–6 daily, dose 2

2021-02-25

Systemic reaction (other): evening after shot, had chills, body and headache, dizzy, fatigue, lasting 24 hours

2021-02-26

Systemic reaction (other): Woke in the night with discomfort in right leg joint where leg joins torso. Couldn't sleep. pain returned 15-30 minutes in the morning then again in the afternoon, causing some instability when walking.

2021-02-27

Systemic reaction (other): Very brief return of joint discomfort this morning. None before or after.

2021-02-28

Systemic reaction (other): No

2021-03-01

Systemic reaction (other): No

Release 4 — day 7, dose 2

2021-03-02

Systemic reaction (other): A little dizzy today

Release 12 — day 35, dose 5

2022-10-14

Symptoms: Post flu shot malaise a week ago. Past two days, intestinal upset, low energy.

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
SDAbdominal discomfort · · ✓
SDAsthenia · · ✓
SDMalaise · · ✓
SROChills ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROGait disturbance ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInsomnia · · ✓
SROLimb discomfort ✓ ✓ ○
SROMusculoskeletal discomfort ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ○
SROSleep disorder · · ✓

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

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