4KL-13535-46376
4 vaccinations
6 coded responses
38 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 662 / KS
- Registered
- 2021-02-03
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-06
Dose 1 — Moderna
-
2021-02-03
Registered in v-safe
-
2021-02-03
Dose 2 — Moderna
-
2021-02-03
Health check-in — day 0, dose 2Feeling: Good · Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-02-04
Survey response — days 1–6 daily, dose 2MedDRA: Insomnia — Feeling: Good · Site: PainFree text: Difficulty sleeping last nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-05
- 2021-02-06
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
- 2021-02-17
-
2021-02-24
Survey response — day 21, dose 2MedDRA: Vaccination site pain — Feeling: GoodFree text: The area where i got both vaccines became painful again. But more of a sharp pain.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-05-05
- 2021-08-04
-
2021-10-26
Dose 3 — Moderna
-
2021-10-26
Survey response — day 0, dose 3MedDRA: Dizziness, Immediate post-injection reaction, Vaccine positive rechallenge — Feeling: Good · Site: PainFree text: I felt a little dizzy-ish a few minutes after the booster today. Like i did after my 2nd vaccine. It just lasted a minute.MedDRA releases: 2024-11 · check-in free text available
-
2021-10-27
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-10-28
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-29
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-09
- 2021-11-16
- 2021-11-23
- 2021-11-30
- 2021-12-07
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2022-01-27
Survey response — 3 months, dose 3MedDRA: Body temperature increased, Fatigue, Nausea, Sinus pain — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Slightly elevated temp. Quesy stomach, tiredness, sinus painMedDRA releases: 2024-11 · check-in free text available
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2022-04-11
Dose 4 — Moderna
- 2022-04-18
- 2022-04-26
-
2022-05-02
Survey response — day 21, dose 4MedDRA: Body temperature increased, Cough, Nausea, Productive cough, Sinus headache — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Sinus headache, nausea, low grade temperature, dry cough and now more productive cough.MedDRA releases: 2024-11 · check-in free text available
-
2022-05-09
Survey response — day 28, dose 4MedDRA: Cough, Fatigue, Headache, Productive cough, Pyrexia, Sinus disorder — Feeling: Good · Be unable to do your normal daily activitiesFree text: Dry then productive cough lasting sevetal days. Headaches, low grade fever. Sinus issues, fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-16
- 2022-05-23
- 2022-07-11
- 2022-10-10
- 2023-04-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-06 | Moderna | |
| 2 | 2021-02-03 | Moderna | |
| 3 | 2021-10-26 | Moderna | No |
| 4 | 2022-04-11 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 2
Systemic reaction (other): Difficulty sleeping last night
Release 4 — day 21, dose 2
Symptoms: The area where i got both vaccines became painful again. But more of a sharp pain.
Release 10 — day 0, dose 3
Systemic reaction (other): I felt a little dizzy-ish a few minutes after the booster today. Like i did after my 2nd vaccine. It just lasted a minute.
Release 11 — 3 months, dose 3
Symptoms: Slightly elevated temp. Quesy stomach, tiredness, sinus pain
Release 11 — day 21, dose 4
Symptoms: Sinus headache, nausea, low grade temperature, dry cough and now more productive cough.
Release 11 — day 28, dose 4
Symptoms: Dry then productive cough lasting sevetal days. Headaches, low grade fever. Sinus issues, fatigue.
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 | Body temperature increased | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Sinus disorder | · | · | ✓ |
| SD | Sinus headache | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SD | Vaccination site pain | ✓ | ✓ | ✓ |
| SRO | Dizziness | · | · | ✓ |
| SRO | Immediate post-injection reaction | · | · | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release