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4DV-22139-33835

5 vaccinations 16 coded responses 62 check-ins 16 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
439 / OH
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-10
    Dose 1 — Moderna
  2. 2021-03-11
    Registered in v-safe
  3. 2021-03-11
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fever · Vomiting
    Adult check-in
  5. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · None
    Adult check-in
  6. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  8. 2021-03-17
    Health check-in — day 7, dose 1
    Feeling: Good · Fever · Headache
    Adult check-in
  9. 2021-03-24
    Survey response — day 14, dose 1
    MedDRA: Pyrexia — Feeling: Good
    Free text: Still have a low-grade fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-31
    Survey response — day 21, dose 1
    MedDRA: Pyrexia — Feeling: Good
    Free text: Still carrying a slight fever, 99.4 today. Strange - my normal temperature is usually low, around 97.8. My temperature in the morning is normal, in the 97s, then climbs to the 99s by afternoon. But I feel fine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-07
    Dose 2 — Moderna
  12. 2021-04-08
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness
    Adult check-in
  13. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chest pain, Cough, Dyspnoea — Feeling: Fair · Site: Pain, Itching · Fever · Muscle or body aches, Nausea
    Free text: Cough, mild chest pain, difficulty breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness
    Free text: Mild trouble breathing
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  16. 2021-04-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  17. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  18. 2021-04-14
    Health check-in — day 7, dose 2
    Feeling: Good · Fever · None
    Adult check-in
  19. 2021-04-21
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-28
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-05-05
    Survey response — day 28, dose 2
    MedDRA: Pyrexia — Feeling: Good
    Free text: Still carrying a slight fever of 99+. My normal temp is 97.4 - 97.8, so 99-99.9 is high for me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-12
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-19
    Survey response — day 42, dose 2
    MedDRA: Chills, Dyspnoea — Feeling: Fair
    Free text: Chills, slight difficulty breathing. Temperature of 100.1
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-07-07
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-10-06
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-11-05
    Dose 3 — Moderna
  27. 2021-11-05
    Health check-in — day 0, dose 3
    Feeling: Good · Site: Pain · Fever · Headache
    Adult check-in
  28. 2021-11-06
    Survey response — days 1–6 daily, dose 3
    MedDRA: Cough — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  29. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Chills
    Adult check-in
  30. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Chest discomfort, Cough — Feeling: Fair · Fever · Chills, Fatigue or tiredness
    Free text: Chest raw, coughing
    MedDRA releases: 2024-11 · check-in free text available
  31. 2021-11-11
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  32. 2021-11-12
    Health check-in — day 7, dose 3
    Feeling: Fair · Fever · Chills, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-11-19
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  34. 2021-11-26
    Survey response — day 21, dose 3
    MedDRA: Headache, Nausea, Pyrexia, Rhinorrhoea — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Nausea, runny nose, headaches, low grade fever. These started occurring a couple weeks after booster, so I'm sure they're totally unrelated.
    MedDRA releases: 2024-11 · check-in free text available
  35. 2021-12-03
    Survey response — day 28, dose 3
    MedDRA: Anal incontinence, Diarrhoea, Muscle spasms — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Severe liquid diarrheal incontinence, all loss of bowel control, cramping.
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-12-10
    Health check-in — day 35, dose 3
    Feeling: Fair
    Adult check-in
  37. 2021-12-17
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  38. 2022-02-04
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  39. 2022-05-06
    Survey response — 6 months, dose 3
    MedDRA: Body temperature increased, Cough, Headache, Oropharyngeal pain — Feeling: Fair
    Free text: Mild Covid symptoms, sore throat, cough, fever of 99.9, headache. Never tested to be sure.
    MedDRA releases: 2024-11 · check-in free text available
  40. 2022-05-19
    Dose 4 — Moderna
  41. 2022-05-19
    Health check-in — day 0, dose 4
    Feeling: Fair · Site: Pain · Fever · None · Be unable to do your normal daily activities
    Adult check-in
  42. 2022-05-20
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  43. 2022-05-21
    Survey response — days 1–6 daily, dose 4
    MedDRA: Cough — Feeling: Good · Site: Pain · Muscle or body aches
    Free text: Dry cough
    MedDRA releases: 2024-11 · check-in free text available
  44. 2022-05-22
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain · None
    Adult check-in
  45. 2022-05-23
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  46. 2022-05-24
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  47. 2022-05-25
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Fever · None
    Adult check-in
  48. 2022-05-26
    Health check-in — day 7, dose 4
    Feeling: Good · Fever · Fatigue or tiredness
    Adult check-in
  49. 2022-06-02
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  50. 2022-06-09
    Survey response — day 21, dose 4
    MedDRA: Body temperature increased, Headache — Feeling: Fair
    Free text: Just a mild fever of 100.2 and a headache, both with causes unrelated to Covid or the vaccination.
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-06-16
    Survey response — day 28, dose 4
    MedDRA: Body temperature increased — Feeling: Fair
    Free text: Low grade fever, 99.9. Could be the heat?
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-06-23
    Health check-in — day 35, dose 4
    Feeling: Fair
    Adult check-in
  53. 2022-06-30
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  54. 2022-08-18
    Health check-in — 3 months, dose 4
    Feeling: Fair
    Adult check-in
  55. 2022-11-17
    Survey response — 6 months, dose 4
    MedDRA: Asthenia, Cough, Dysphonia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Cough, hoarseness, weakness
    MedDRA releases: 2024-11 · check-in free text available
  56. 2022-11-30
    Dose 5 — Moderna
  57. 2022-12-01
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  58. 2022-12-02
    Health check-in — days 1–6 daily, dose 5
    Feeling: Poor · Site: Pain, Itching · Nausea, Vomiting, Abdominal pain · Be unable to work or attend school, Be unable to do your normal daily activities
    Adult check-in
  59. 2022-12-03
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Site: Pain · None
    Adult check-in
  60. 2022-12-04
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fever · None
    Adult check-in
  61. 2022-12-06
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Fever · None
    Adult check-in
  62. 2022-12-07
    Health check-in — day 7, dose 5
    Feeling: Fair · Fever · Chills, Fatigue or tiredness
    Adult check-in
  63. 2022-12-14
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  64. 2022-12-22
    Health check-in — day 21, dose 5
    Feeling: Good
    Adult check-in
  65. 2022-12-28
    Survey response — day 28, dose 5
    MedDRA: Fatigue, Pyrexia — Feeling: Fair
    Free text: Fever, fatigue, unrelated to the Covid vaccine. Temperature of 100.5.
    MedDRA releases: 2024-11 · check-in free text available
  66. 2023-01-11
    Health check-in — day 42, dose 5
    Feeling: Fair
    Adult check-in
  67. 2023-03-01
    Health check-in — 3 months, dose 5
    Feeling: Good
    Adult check-in
  68. 2023-05-31
    Health check-in — 6 months, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-10Moderna
22021-04-07Moderna
32021-11-05Moderna No
42022-05-19Moderna No
52022-11-30Moderna No

Free text

Release 6 — day 14, dose 1

2021-03-24

Symptoms: Still have a low-grade fever.

Release 6 — day 21, dose 1

2021-03-31

Symptoms: Still carrying a slight fever, 99.4 today. Strange - my normal temperature is usually low, around 97.8. My temperature in the morning is normal, in the 97s, then climbs to the 99s by afternoon. But I feel fine.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Cough, mild chest pain, difficulty breathing

2021-04-10

Systemic reaction (other): Mild trouble breathing

Release 8 — day 28, dose 2

2021-05-05

Symptoms: Still carrying a slight fever of 99+. My normal temp is 97.4 - 97.8, so 99-99.9 is high for me.

Release 8 — day 42, dose 2

2021-05-19

Symptoms: Chills, slight difficulty breathing. Temperature of 100.1

Release 10 — days 1–6 daily, dose 3

2021-11-06

Systemic reaction (other): Cough

2021-11-09

Systemic reaction (other): Chest raw, coughing

Release 10 — day 21, dose 3

2021-11-26

Symptoms: Nausea, runny nose, headaches, low grade fever. These started occurring a couple weeks after booster, so I'm sure they're totally unrelated.

Release 10 — day 28, dose 3

2021-12-03

Symptoms: Severe liquid diarrheal incontinence, all loss of bowel control, cramping.

Release 11 — 6 months, dose 3

2022-05-06

Symptoms: Mild Covid symptoms, sore throat, cough, fever of 99.9, headache. Never tested to be sure.

Release 11 — days 1–6 daily, dose 4

2022-05-21

Systemic reaction (other): Dry cough

Release 12 — day 21, dose 4

2022-06-09

Symptoms: Just a mild fever of 100.2 and a headache, both with causes unrelated to Covid or the vaccination.

Release 12 — day 28, dose 4

2022-06-16

Symptoms: Low grade fever, 99.9. Could be the heat?

Release 12 — 6 months, dose 4

2022-11-17

Symptoms: Cough, hoarseness, weakness

Release 12 — day 28, dose 5

2022-12-28

Symptoms: Fever, fatigue, unrelated to the Covid vaccine. Temperature of 100.5.

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
SDAnal incontinence · · ✓
SDAsthenia · · ✓
SDBody temperature increased · · ✓
SDChills ✓ ✓ ✓
SDCough · · ✓
SDDiarrhoea · · ✓
SDDysphonia · · ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDMuscle spasms · · ✓
SDNausea · · ✓
SDOropharyngeal pain · · ✓
SDPyrexia ✓ ✓ ✓
SDRhinorrhoea · · ✓
SROChest discomfort · · ✓
SROChest pain ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓

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