4FK-12785-55115
4 vaccinations
6 coded responses
53 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 452 / OH
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-04
Dose 1 — Moderna
-
2021-02-07
Registered in v-safe
-
2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Note that these were my symptoms the day of and the day after my 1st vaccine on Feb 4th...was feeling too bad to even read paper work for this study but decided to start today...feeling much better!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-11
- 2021-02-18
- 2021-02-25
- 2021-03-04
-
2021-03-06
Dose 2 — Moderna
-
2021-03-07
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
-
2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Unevaluable event — Feeling: Fair · Site: Itching · Headache, Fatigue or tirednessFree text: Very very rarely get headaches. Sneezong and wondefing if spring allergies are setting in.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-13
-
2021-03-22
Survey response — day 14, dose 2MedDRA: Pre-existing disease — Feeling: FairFree text: Spring pollen allergies kicking in bigtime!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
- 2021-04-03
- 2021-04-10
- 2021-04-17
- 2021-06-05
- 2021-09-06
-
2021-10-29
Dose 3 — Moderna
-
2021-10-29
Survey response — day 0, dose 3MedDRA: Chills, Dysgeusia, Headache, Immediate post-injection reaction — Feeling: Good · Chills, HeadacheFree text: Slight metallic taste in mouth within 5 min if receiving vaccine. Very mild headache began 20min after shot and chills began 6hrs after vaccine receivedMedDRA releases: 2024-11 · check-in free text available
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2021-10-30
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-04
- 2021-11-07
- 2021-11-12
- 2021-11-19
- 2021-11-26
- 2021-12-03
- 2021-12-10
- 2022-01-28
- 2022-05-01
-
2022-05-24
Dose 4 — Moderna
-
2022-05-24
Survey response — day 0, dose 4MedDRA: Dysgeusia, Headache, Immediate post-injection reaction — Feeling: Fair · Headache, Fatigue or tirednessFree text: Had metallic taste in mouth within 5 minutes of receiving 2nd booster and a mild headache which started about 20 min after vaccine. Metallic Taste went away after about 4hrs and drinking lots of water as I did with other vaccines. Still have a mild hMedDRA releases: 2024-11 · check-in free text available
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2022-05-25
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-26
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-05-27
Survey response — days 1–6 daily, dose 4MedDRA: Fatigue — Feeling: Good · Site: Itching · Fatigue or tirednessFree text: Able to function normally today but still a little more tired than usualMedDRA releases: 2024-11 · check-in free text available
- 2022-05-28
- 2022-05-29
- 2022-05-30
- 2022-05-31
- 2022-06-07
- 2022-06-14
- 2022-06-21
- 2022-06-28
- 2022-07-05
- 2022-08-23
- 2022-11-22
- 2023-05-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-06 | Moderna | |
| 3 | 2021-10-29 | Moderna | No |
| 4 | 2022-05-24 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Note that these were my symptoms the day of and the day after my 1st vaccine on Feb 4th...was feeling too bad to even read paper work for this study but decided to start today...feeling much better!
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Very very rarely get headaches. Sneezong and wondefing if spring allergies are setting in.
Release 6 — day 14, dose 2
Symptoms: Spring pollen allergies kicking in bigtime!
Release 10 — day 0, dose 3
Systemic reaction (other): Slight metallic taste in mouth within 5 min if receiving vaccine. Very mild headache began 20min after shot and chills began 6hrs after vaccine received
Release 11 — day 0, dose 4
Systemic reaction (other): Had metallic taste in mouth within 5 minutes of receiving 2nd booster and a mild headache which started about 20 min after vaccine. Metallic Taste went away after about 4hrs and drinking lots of water as I did with other vaccines. Still have a mild h cut off by CDC
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Able to function normally today but still a little more tired 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 | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dysgeusia | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release