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4K6-63656-04281

3 vaccinations 7 coded responses 12 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
900 / CA
Registered
2022-03-22
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-13
    Dose 1 — Moderna
  2. 2021-05-13
    Dose 2 — Moderna
  3. 2022-03-20
    Dose 3 — Moderna
  4. 2022-03-22
    Registered in v-safe
  5. 2022-03-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  6. 2022-03-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Blue toe syndrome, Rash macular, Skin discolouration — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Purple Blotches knees and toes
    MedDRA releases: 2024-11 · check-in free text available
  7. 2022-03-24
    Survey response — days 1–6 daily, dose 3
    MedDRA: Bedridden, Pain, Skin discolouration — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Purple toes receding. Burning body pain. Third bed ridden day. I will never get another vaccine.
    MedDRA releases: 2024-11 · check-in free text available
  8. 2022-03-25
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Temperature intolerance — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Exertion and heat intolerance. Usually very active.
    MedDRA releases: 2024-11 · check-in free text available
  9. 2022-03-26
    Survey response — days 1–6 daily, dose 3
    MedDRA: Fatigue, Temperature intolerance — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Continuing exertion and heat intolerance.
    MedDRA releases: 2024-11 · check-in free text available
  10. 2022-03-27
    Survey response — day 7, dose 3
    MedDRA: Incomplete course of vaccination, Lymphadenopathy, Mobility decreased — Feeling: Good · Site: Redness · Joint pains, Muscle or body aches
    Free text: Now that I feel better I'm aware swollen lymph nodes is not listed. My lymph nodes were so swollen until day 6 I could barely move. I will never take a second booster. This was a nightmare.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2022-04-03
    Survey response — day 14, dose 3
    MedDRA: Fatigue, Temperature intolerance — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Extreme exertion and heat intolerance. Unable to stay on feet. I would have gone to dr if I had insurance. Absolutely flattened.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2022-04-10
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  13. 2022-04-17
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  14. 2022-04-24
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  15. 2022-05-01
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  16. 2022-06-19
    Survey response — 3 months, dose 3
    MedDRA: Dizziness, Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Exhaustion, dizziness, unable to function normally
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-04-13Moderna No
22021-05-13Moderna No
32022-03-20Moderna No

Free text

Release 11 — days 1–6 daily, dose 3

2022-03-23

Systemic reaction (other): Purple Blotches knees and toes

2022-03-24

Systemic reaction (other): Purple toes receding. Burning body pain. Third bed ridden day. I will never get another vaccine.

2022-03-25

Systemic reaction (other): Exertion and heat intolerance. Usually very active.

2022-03-26

Systemic reaction (other): Continuing exertion and heat intolerance.

Release 11 — day 7, dose 3

2022-03-27

Systemic reaction (other): Now that I feel better I'm aware swollen lymph nodes is not listed. My lymph nodes were so swollen until day 6 I could barely move. I will never take a second booster. This was a nightmare.

Release 11 — day 14, dose 3

2022-04-03

Symptoms: Extreme exertion and heat intolerance. Unable to stay on feet. I would have gone to dr if I had insurance. Absolutely flattened.

Release 12 — 3 months, dose 3

2022-06-19

Symptoms: Exhaustion, dizziness, unable to function normally

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
SDDizziness · · ✓
SDFatigue · · ✓
SDTemperature intolerance · · ✓
SROBedridden · · ✓
SROBlue toe syndrome · · ✓
SROFatigue · · ✓
SROIncomplete course of vaccination · · ✓
SROLymphadenopathy · · ✓
SROMobility decreased · · ✓
SROPain · · ✓
SRORash macular · · ✓
SROSkin discolouration · · ✓
SROTemperature intolerance · · ✓

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