4N9-35506-66986
4 vaccinations
5 coded responses
28 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 453 / OH
- Registered
- 2021-02-06
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-05
Dose 1 — Moderna
-
2021-02-06
Registered in v-safe
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2021-02-06
Survey response — days 1–6 daily, dose 1MedDRA: Chills, Headache, Malaise — Feeling: Good · Site: Pain · HeadacheFree text: yesterday about 5 hours after my vaccine I had chills & felt like I was going to be ill. Fell asleep & woke up feeling fine today. Only mild headache this morning.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-07
- 2021-02-08
- 2021-02-09
- 2021-02-10
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2021-02-11
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Chills, Headache, Insomnia, Nausea — Feeling: Fair · Site: Swelling · Headache · Be unable to do your normal daily activitiesFree text: Last night after dinner i had mild nausea. Later about 10pm I felt extremely chilled, & joint aches. I went to bed, had trouble sleeping. Woke up this morning, did not feel chilled, no joint aches-but had a moderate headache-took aspirin. Stayed in bed today, sleeping taking it easy. Now, just a slight headache.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-12
Health check-in — day 7, dose 1Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
- 2021-02-19
- 2021-02-26
- 2021-03-05
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2021-03-08
Dose 2 — Moderna
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2021-03-12
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Fatigue, Hyperhidrosis, Injection site pain, Pain, Pyrexia — Feeling: Good · Fatigue or tirednessFree text: 4 hours post injection, tired.18 hours post injection-achy, tired, chills, fever,injection site pain. Stayed in bed. 29 hours post injection feeling better-no fever, aches, or chills. Tired , off & on had sweats. Today & yesterday tired.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Swelling · Fatigue or tirednessAdult check-in
-
2021-03-15
Survey response — day 7, dose 2MedDRA: Fatigue — Feeling: Good · Site: SwellingFree text: no unusual tiredness so far todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-22
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-06-07
- 2021-09-06
-
2021-11-23
Dose 3 — Moderna
-
2022-03-09
Survey response — 12 months, dose 2MedDRA: Tremor — Feeling: GoodFree text: left hand tremorsMedDRA releases: 2024-11 · check-in free text available
-
2022-06-23
Dose 4 — Moderna
- 2022-06-30
- 2022-07-08
- 2022-07-16
- 2022-07-30
- 2022-08-04
- 2022-09-22
- 2022-12-23
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-05 | Moderna | |
| 2 | 2021-03-08 | Moderna | |
| 3 | 2021-11-23 | Moderna | No |
| 4 | 2022-06-23 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): yesterday about 5 hours after my vaccine I had chills & felt like I was going to be ill. Fell asleep & woke up feeling fine today. Only mild headache this morning.
Release 4 — days 1–6 daily, dose 1
Systemic reaction (other): Last night after dinner i had mild nausea. Later about 10pm I felt extremely chilled, & joint aches. I went to bed, had trouble sleeping. Woke up this morning, did not feel chilled, no joint aches-but had a moderate headache-took aspirin. Stayed in bed today, sleeping taking it easy. Now, just a slight headache.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): 4 hours post injection, tired.18 hours post injection-achy, tired, chills, fever,injection site pain. Stayed in bed. 29 hours post injection feeling better-no fever, aches, or chills. Tired , off & on had sweats. Today & yesterday tired.
Release 5 — day 7, dose 2
Systemic reaction (other): no unusual tiredness so far today
Release 11 — 12 months, dose 2
Symptoms: left hand tremors
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 | Tremor | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Malaise | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release