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
-
2021-04-13
Dose 1 — Moderna
-
2021-05-13
Dose 2 — Moderna
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2022-03-20
Dose 3 — Moderna
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2022-03-22
Registered in v-safe
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2022-03-22
Health check-in — days 1–6 daily, dose 3Feeling: 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 activitiesAdult check-in
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2022-03-23
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree text: Purple Blotches knees and toesMedDRA releases: 2024-11 · check-in free text available
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2022-03-24
Survey response — days 1–6 daily, dose 3MedDRA: 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 activitiesFree 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
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2022-03-25
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Temperature intolerance — Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesFree text: Exertion and heat intolerance. Usually very active.MedDRA releases: 2024-11 · check-in free text available
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2022-03-26
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Temperature intolerance — Feeling: Fair · Site: Redness, Itching · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Continuing exertion and heat intolerance.MedDRA releases: 2024-11 · check-in free text available
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2022-03-27
Survey response — day 7, dose 3MedDRA: Incomplete course of vaccination, Lymphadenopathy, Mobility decreased — Feeling: Good · Site: Redness · Joint pains, Muscle or body achesFree 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
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2022-04-03
Survey response — day 14, dose 3MedDRA: Fatigue, Temperature intolerance — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activitiesFree 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
- 2022-04-10
- 2022-04-17
- 2022-04-24
- 2022-05-01
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2022-06-19
Survey response — 3 months, dose 3MedDRA: Dizziness, Fatigue — Feeling: Poor · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Exhaustion, dizziness, unable to function normallyMedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-13 | Moderna | No |
| 2 | 2021-05-13 | Moderna | No |
| 3 | 2022-03-20 | Moderna | No |
Free text
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Purple Blotches knees and toes
Systemic reaction (other): Purple toes receding. Burning body pain. Third bed ridden day. I will never get another vaccine.
Systemic reaction (other): Exertion and heat intolerance. Usually very active.
Systemic reaction (other): Continuing exertion and heat intolerance.
Release 11 — day 7, dose 3
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
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
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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Dizziness | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Temperature intolerance | · | · | ✓ |
| SRO | Bedridden | · | · | ✓ |
| SRO | Blue toe syndrome | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Incomplete course of vaccination | · | · | ✓ |
| SRO | Lymphadenopathy | · | · | ✓ |
| SRO | Mobility decreased | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Rash macular | · | · | ✓ |
| SRO | Skin discolouration | · | · | ✓ |
| SRO | Temperature intolerance | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release