4QH-65390-54607
2 vaccinations
4 coded responses
9 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 019 / MA
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-22
Dose 1 — Moderna
-
2021-03-22
Dose 2 — Moderna
-
2021-03-25
Registered in v-safe
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Extreme fatigue - been home for 3 days since 2nd vaccinationMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Good · Site: Swelling · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: 8 hrs after receiving 2nd Moderna shot, I experienced 24 hrs of fevers, reaching 103 for one hr and slow receding over 24 hrs.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — day 7, dose 2MedDRA: Fatigue — Feeling: GoodFree text: A little tirednessMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-15
- 2021-04-19
- 2021-04-26
- 2021-05-03
-
2021-06-25
Survey response — 3 months, dose 2MedDRA: Fatigue, Mucosal inflammation, Respiratory tract infection — Feeling: Fair · Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I had a respiratory infection a few weeks ago - inflammation of my entrance airways. I was prescribed a 5 day antibiotic, and it passed. I am still a little tired. Could be allergies, using an inhaler.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-06-25
Report sent to call center — 3 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
- 2021-07-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-22 | Moderna | |
| 2 | 2021-03-22 | Moderna |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme fatigue - been home for 3 days since 2nd vaccination
Systemic reaction (other): 8 hrs after receiving 2nd Moderna shot, I experienced 24 hrs of fevers, reaching 103 for one hr and slow receding over 24 hrs.
Release 6 — day 7, dose 2
Systemic reaction (other): A little tiredness
Release 9 — 3 months, dose 2
Symptoms: I had a respiratory infection a few weeks ago - inflammation of my entrance airways. I was prescribed a 5 day antibiotic, and it passed. I am still a little tired. Could be allergies, using an inhaler.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Mucosal inflammation | ✓ | ✓ | ✓ |
| SD | Respiratory tract infection | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release