4H9-78308-10481
4 vaccinations
7 coded responses
26 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 212 / MD
- Registered
- 2021-03-01
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-28
Dose 1 — Moderna
-
2021-02-25
Dose 2 — Moderna
-
2021-03-01
Registered in v-safe
- 2021-03-01
-
2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Back pain, Fatigue, Pain in extremity — Feeling: GoodFree text: Just to clarify. I signed up late. No side effects from first shot. Extreme fatigue day after second shot for 24 hrs , mildly sore arm and mild back acheMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
-
2021-03-11
Survey response — day 14, dose 2MedDRA: Fatigue, Musculoskeletal discomfort — Feeling: GoodFree text: Upper back discomfort and minor fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-25
Survey response — day 28, dose 2MedDRA: Fatigue, Pyrexia — Feeling: GoodFree text: Low grade fever 1.5 days and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-08
- 2021-05-27
- 2021-08-26
-
2021-10-22
Dose 3 — Moderna
-
2021-10-27
Survey response — days 1–6 daily, dose 3MedDRA: Back pain — Feeling: GoodFree text: Slight back ache yesterdayMedDRA releases: 2024-11 · check-in free text available
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-10-31
- 2021-11-07
- 2021-11-12
- 2021-11-26
- 2021-12-03
- 2022-01-21
-
2022-04-02
Dose 4 — ModernaCo-administered: Shingles
-
2022-04-20
Survey response — day 14, dose 4MedDRA: Chills, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activitiesFree text: On the day of 2nd booster and shingles vaccine, I experienced fever, chills and fatigueMedDRA releases: 2024-11 · check-in free text available
-
2022-04-23
Survey response — day 21, dose 4MedDRA: Blood pressure increased, Hypertension — Feeling: GoodFree text: My blood pressure has been elevated. I am being treated for hbp, but the numbers have been higherMedDRA releases: 2024-11 · check-in free text available
- 2022-05-02
-
2022-05-07
Survey response — day 35, dose 4MedDRA: Cough — Feeling: FairFree text: CoughMedDRA releases: 2024-11 · check-in free text available
- 2022-05-15
- 2022-07-02
- 2022-10-03
- 2023-04-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-28 | Moderna | |
| 2 | 2021-02-25 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-02 | Moderna | Shingles |
Free text
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just to clarify. I signed up late. No side effects from first shot. Extreme fatigue day after second shot for 24 hrs , mildly sore arm and mild back ache
Release 5 — day 14, dose 2
Symptoms: Upper back discomfort and minor fatigue
Release 6 — day 28, dose 2
Symptoms: Low grade fever 1.5 days and fatigue
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Slight back ache yesterday
Release 11 — day 14, dose 4
Symptoms: On the day of 2nd booster and shingles vaccine, I experienced fever, chills and fatigue
Release 11 — day 21, dose 4
Symptoms: My blood pressure has been elevated. I am being treated for hbp, but the numbers have been higher
Release 11 — day 35, dose 4
Symptoms: Cough
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 | Blood pressure increased | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Back pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release