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4JU-20719-60352

2 vaccinations 3 coded responses 8 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
565 / MN
Registered
2021-03-15
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-03-13
    Dose 2 — Moderna
  3. 2021-03-15
    Registered in v-safe
  4. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Mobility decreased, Pain, Pyrexia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activities
    Free text: Habe had these symptoms since Friday evening of the 12th and wasso sick on Saturday i coukd mot get out of bed tge chills were so bad it controlled my whole body for two as md half days am getting better have moderate symptoms still habe fever which makes the body ache. Today is the first day i was able to eat something. Othereisr i drank water and gatorade.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Headache, Joint pains, Fatigue or tiredness
    Free text: First day almost 24 hours and no fever
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-17
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  7. 2021-03-20
    Health check-in — day 7, dose 2
    Feeling: Fair · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  9. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Fair
    Adult check-in
  10. 2021-04-11
    Survey response — day 28, dose 2
    MedDRA: Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Ache all over
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna

Free text

Release 5 — days 1–6 daily, dose 2

2021-03-15

Systemic reaction (other): Habe had these symptoms since Friday evening of the 12th and wasso sick on Saturday i coukd mot get out of bed tge chills were so bad it controlled my whole body for two as md half days am getting better have moderate symptoms still habe fever which makes the body ache. Today is the first day i was able to eat something. Othereisr i drank water and gatorade.

2021-03-16

Systemic reaction (other): First day almost 24 hours and no fever

Release 7 — day 28, dose 2

2021-04-11

Symptoms: Ache all over

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
SDPain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROMobility decreased ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPain ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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