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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

  1. 2021-01-28
    Dose 1 — Moderna
  2. 2021-02-25
    Dose 2 — Moderna
  3. 2021-03-01
    Registered in v-safe
  4. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  5. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Back pain, Fatigue, Pain in extremity — Feeling: Good
    Free 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 ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-04
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  7. 2021-03-11
    Survey response — day 14, dose 2
    MedDRA: Fatigue, Musculoskeletal discomfort — Feeling: Good
    Free text: Upper back discomfort and minor fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-03-25
    Survey response — day 28, dose 2
    MedDRA: Fatigue, Pyrexia — Feeling: Good
    Free text: Low grade fever 1.5 days and fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-10-22
    Dose 3 — Moderna
  15. 2021-10-27
    Survey response — days 1–6 daily, dose 3
    MedDRA: Back pain — Feeling: Good
    Free text: Slight back ache yesterday
    MedDRA releases: 2024-11 · check-in free text available
  16. 2021-10-28
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  17. 2021-10-31
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  18. 2021-11-07
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  19. 2021-11-12
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  20. 2021-11-26
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-12-03
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  22. 2022-01-21
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  23. 2022-04-02
    Dose 4 — Moderna
    Co-administered: Shingles
  24. 2022-04-20
    Survey response — day 14, dose 4
    MedDRA: Chills, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: On the day of 2nd booster and shingles vaccine, I experienced fever, chills and fatigue
    MedDRA releases: 2024-11 · check-in free text available
  25. 2022-04-23
    Survey response — day 21, dose 4
    MedDRA: Blood pressure increased, Hypertension — Feeling: Good
    Free text: My blood pressure has been elevated. I am being treated for hbp, but the numbers have been higher
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-05-02
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  27. 2022-05-07
    Survey response — day 35, dose 4
    MedDRA: Cough — Feeling: Fair
    Free text: Cough
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-05-15
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  29. 2022-07-02
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  30. 2022-10-03
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  31. 2023-04-04
    Health check-in — 12 months, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-28Moderna
22021-02-25Moderna
32021-10-22Moderna No
42022-04-02Moderna Shingles

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-02

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

2021-03-11

Symptoms: Upper back discomfort and minor fatigue

Release 6 — day 28, dose 2

2021-03-25

Symptoms: Low grade fever 1.5 days and fatigue

Release 10 — days 1–6 daily, dose 3

2021-10-27

Systemic reaction (other): Slight back ache yesterday

Release 11 — day 14, dose 4

2022-04-20

Symptoms: On the day of 2nd booster and shingles vaccine, I experienced fever, chills and fatigue

Release 11 — day 21, dose 4

2022-04-23

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

2022-05-07

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

FieldPreferred term2021-092023-042024-11
SDBlood pressure increased · · ✓
SDChills · · ✓
SDCough · · ✓
SDFatigue ✓ ✓ ✓
SDHypertension · · ✓
SDMusculoskeletal discomfort ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROBack pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓

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