4Y6-29750-40386
5 vaccinations
21 coded responses
60 check-ins
21 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 071 / NJ
- Registered
- 2021-07-11
- Relationship
- Self
- Race
- Black or African American
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-07-10
Dose 1 — Moderna
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2021-07-11
Registered in v-safe
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2021-07-11
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue — Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea · Be unable to do your normal daily activitiesFree text: I felt so tired this morning I could not get out of bed to take my medicine or eat.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-07-12
Survey response — days 1–6 daily, dose 1MedDRA: Fatigue, Pain, Pain in extremity — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: I'm a little fatigued, but I'm sitting down a lot. There's a little pain in my left arm if I try to raise itMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-07-13
- 2021-07-15
- 2021-07-16
- 2021-07-17
- 2021-07-24
- 2021-08-02
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2021-08-07
Dose 2 — Moderna
- 2021-08-07
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2021-08-08
Survey response — days 1–6 daily, dose 2MedDRA: Muscular weakness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extreme leg weaknessMedDRA releases: 2021-09,2024-11 · check-in free text available
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2021-08-09
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-08-10
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
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2021-08-11
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Itching · Headache, Fatigue or tirednessAdult check-in
- 2021-08-12
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2021-08-13
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Itching · Fatigue or tirednessAdult check-in
- 2021-08-14
- 2021-08-21
- 2021-08-28
- 2021-09-04
- 2021-09-11
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2021-09-18
Survey response — day 42, dose 2MedDRA: Migraine — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Daily migrainesMedDRA releases: 2024-11 · check-in free text available
- 2021-11-06
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2022-02-05
Dose 3 — Moderna
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2022-02-05
Survey response — day 0, dose 3MedDRA: Headache, Self-medication — Feeling: Fair · HeadacheFree text: Intermittent pain left side of temple. Took 500mg Tylenol.MedDRA releases: 2024-11 · check-in free text available
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2022-02-06
Survey response — days 1–6 daily, dose 3MedDRA: Muscular weakness — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Extreme weakness in legs.MedDRA releases: 2024-11 · check-in free text available
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2022-02-07
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Fair · Headache, Fatigue or tirednessFree text: No.MedDRA releases: 2024-11 · check-in free text available
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2022-02-08
Survey response — days 1–6 daily, dose 3MedDRA: Diarrhoea — Feeling: Fair · Site: Pain · Headache, DiarrheaFree text: I normally do not get diarrhea.MedDRA releases: 2024-11 · check-in free text available
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2022-02-09
Survey response — days 1–6 daily, dose 3MedDRA: Pre-existing disease — Feeling: Fair · Headache, DiarrheaFree text: I have Lupus.MedDRA releases: 2024-11 · check-in free text available
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2022-02-10
Survey response — days 1–6 daily, dose 3MedDRA: Dyspepsia, Flatulence — Feeling: Fair · Abdominal painFree text: Indigestion, gassyMedDRA releases: 2024-11 · check-in free text available
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2022-02-11
Survey response — days 1–6 daily, dose 3MedDRA: Abdominal pain upper, Dyspepsia — Feeling: Fair · Headache, Fatigue or tiredness, Abdominal painFree text: Heartburn pain, stomachacheMedDRA releases: 2024-11 · check-in free text available
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2022-02-12
Survey response — day 7, dose 3MedDRA: No adverse event — Feeling: Fair · Fatigue or tirednessFree text: No.MedDRA releases: 2024-11 · check-in free text available
- 2022-02-19
- 2022-02-26
- 2022-03-05
- 2022-03-12
- 2022-03-19
- 2022-05-07
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2022-07-13
Dose 4 — Moderna
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2022-07-16
Survey response — days 1–6 daily, dose 4MedDRA: Migraine — Feeling: Good · Fever · Headache, Fatigue or tirednessFree text: MigraineMedDRA releases: 2024-11 · check-in free text available
- 2022-07-17
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2022-07-18
Survey response — days 1–6 daily, dose 4MedDRA: Decreased appetite — Feeling: Good · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Slight lost of appetiteMedDRA releases: 2024-11 · check-in free text available
- 2022-07-19
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2022-07-22
Survey response — day 7, dose 4MedDRA: Fatigue, Pre-existing disease — Feeling: Good · Fatigue or tirednessFree text: I have Lupus, which might be causing my daily fatigue.MedDRA releases: 2024-11 · check-in free text available
- 2022-07-27
- 2022-08-03
- 2022-08-10
- 2022-08-17
- 2022-08-24
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2022-10-25
Dose 5 — Moderna
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2022-10-26
Survey response — days 1–6 daily, dose 5MedDRA: Headache — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: HeadacheMedDRA releases: 2024-11 · check-in free text available
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2022-10-27
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2022-10-28
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-29
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2022-10-30
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Fatigue or tirednessFree text: NoMedDRA releases: 2024-11 · check-in free text available
- 2022-10-31
- 2022-11-01
- 2022-11-08
- 2022-11-15
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2022-11-22
Survey response — day 28, dose 5MedDRA: Headache — Feeling: Poor · Be unable to do your normal daily activitiesFree text: Recurring daily headacheMedDRA releases: 2024-11 · check-in free text available
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2022-11-29
Survey response — day 35, dose 5MedDRA: Body temperature increased, Headache, Hypertension, Self-medication, Sneezing — Feeling: PoorFree text: During this past week I have had a constant headache that keeps coming back each day, temperatures of over 100, blood pressure high. Intermittant sneezing. I'm taking two 500mg Tylenol tablets per day.MedDRA releases: 2024-11 · check-in free text available
- 2022-12-08
- 2023-01-24
- 2023-04-27
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-07-10 | Moderna | No |
| 2 | 2021-08-07 | Moderna | No |
| 3 | 2022-02-05 | Moderna | No |
| 4 | 2022-07-13 | Moderna | No |
| 5 | 2022-10-25 | Moderna | No |
Free text
Release 9 — days 1–6 daily, dose 1
Systemic reaction (other): I felt so tired this morning I could not get out of bed to take my medicine or eat.
Systemic reaction (other): I'm a little fatigued, but I'm sitting down a lot. There's a little pain in my left arm if I try to raise it
Release 9 — days 1–6 daily, dose 2
Systemic reaction (other): Extreme leg weakness
Release 9 — day 42, dose 2
Symptoms: Daily migraines
Release 11 — day 0, dose 3
Systemic reaction (other): Intermittent pain left side of temple. Took 500mg Tylenol.
Release 11 — days 1–6 daily, dose 3
Systemic reaction (other): Extreme weakness in legs.
Systemic reaction (other): No.
Systemic reaction (other): I normally do not get diarrhea.
Systemic reaction (other): I have Lupus.
Systemic reaction (other): Indigestion, gassy
Systemic reaction (other): Heartburn pain, stomachache
Release 11 — day 7, dose 3
Systemic reaction (other): No.
Release 12 — days 1–6 daily, dose 4
Systemic reaction (other): Migraine
Systemic reaction (other): Slight lost of appetite
Release 12 — day 7, dose 4
Systemic reaction (other): I have Lupus, which might be causing my daily fatigue.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Headache
Systemic reaction (other): No
Systemic reaction (other): No
Systemic reaction (other): No
Release 12 — day 28, dose 5
Symptoms: Recurring daily headache
Release 12 — day 35, dose 5
Symptoms: During this past week I have had a constant headache that keeps coming back each day, temperatures of over 100, blood pressure high. Intermittant sneezing. I'm taking two 500mg Tylenol tablets per day.
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 | Headache | · | · | ✓ |
| SD | Hypertension | · | · | ✓ |
| SD | Migraine | · | · | ✓ |
| SD | Self-medication | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Abdominal pain upper | · | · | ✓ |
| SRO | Decreased appetite | · | · | ✓ |
| SRO | Diarrhoea | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Flatulence | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Migraine | · | · | ✓ |
| SRO | Muscular weakness | ✓ | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release