4EB-81293-52237
2 vaccinations
4 coded responses
14 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 235 / VA
- Registered
- 2021-02-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-24
Dose 1 — Moderna
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2021-02-25
Registered in v-safe
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2021-02-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-26
Health check-in — days 1–6 daily, dose 1Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-28
Health check-in — days 1–6 daily, dose 1Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-01
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety, Nervousness — Feeling: Good · HeadacheFree text: How can I sign up for my second injection of the Moderna vaccine. I've been terribly nervous & anxious. Please help me with this. I am due for the 2nd injection on or around March 24th. Please help me in responding to me. Thank you (b)(6)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 1MedDRA: Anxiety — Feeling: Good · Muscle or body achesFree text: Anxiety - fear of not knowing how to schedule my 2nd Moderna vaccine shot thats due 3/24/21. Please help me with this. Thank youMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-03
Health check-in — day 7, dose 1Feeling: Poor · Chills, Headache, Joint pains, Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-25
Dose 2 — Moderna
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2021-03-26
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-27
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-28
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Chills, Fatigue or tirednessAdult check-in
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2021-03-29
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Itching · Headache, Fatigue or tiredness, DiarrheaAdult check-in
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2021-03-30
Survey response — days 1–6 daily, dose 2MedDRA: Cold sweat — Feeling: Fair · Site: Itching · Chills, Fatigue or tirednessFree text: I also have been quite cool @ clammyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Itching · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-04-01
Survey response — day 7, dose 2MedDRA: Abdominal pain upper, Diarrhoea — Feeling: Poor · Site: Itching · Chills, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: Diarrhea stomach crampsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-24 | Moderna | |
| 2 | 2021-03-25 | Moderna |
Free text
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): How can I sign up for my second injection of the Moderna vaccine. I've been terribly nervous & anxious. Please help me with this. I am due for the 2nd injection on or around March 24th. Please help me in responding to me. Thank you (b)(6)
redacted (b)(6)
Systemic reaction (other): Anxiety - fear of not knowing how to schedule my 2nd Moderna vaccine shot thats due 3/24/21. Please help me with this. Thank you
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): I also have been quite cool @ clammy
Release 6 — day 7, dose 2
Systemic reaction (other): Diarrhea stomach cramps
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 |
|---|---|---|---|---|
| SRO | Abdominal pain upper | ✓ | ✓ | ✓ |
| SRO | Anxiety | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Diarrhoea | ✓ | ✓ | ✓ |
| SRO | Nervousness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release