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535-25261-62171

4 vaccinations 8 coded responses 36 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
331 / FL
Registered
2021-01-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-11
    Registered in v-safe
  2. 2021-01-11
    Dose 1 — Moderna
  3. 2021-01-11
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-01-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2021-01-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-01-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-01-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-01-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-01-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-01-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-02-01
    Survey response — day 21, dose 1
    MedDRA: Headache — Feeling: Fair
    Free text: Head aches. Normally, I rarely get headaches but have experienced it for the past few days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-02-08
    Dose 2 — Moderna
  14. 2021-02-08
    Survey response — day 0, dose 2
    MedDRA: Fatigue, Headache, Pyrexia — Feeling: Good · Site: Pain, Swelling · Fever · Headache
    Free text: Second day of vaccine, feverish, fatigue, headaches
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-02-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  16. 2021-02-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-02-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-02-12
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Diarrhea
    Adult check-in
  19. 2021-02-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Headache
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-02-15
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Good · Fatigue or tiredness
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-01
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-08
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-03-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-03-22
    Survey response — day 42, dose 2
    MedDRA: Fatigue, Loss of personal independence in daily activities — Feeling: Fair
    Free text: Tired. Need to rest more between chores but not enough to cripple me.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-10
    Survey response — 3 months, dose 2
    MedDRA: Pre-existing disease, Radiotherapy — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Undergoing radiation therapy for breast cancer.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  28. 2021-08-09
    Survey response — 6 months, dose 2
    MedDRA: Eye irritation, Fatigue, Headache, SARS-CoV-2 test negative, Sluggishness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Burning eyes, headaches, tired, sluggish. This was two weeks ago so my doctor suggested I have a Covid test to make sure. I did and it was negative.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  29. 2021-10-28
    Dose 3 — Moderna
  30. 2022-02-08
    Survey response — 12 months, dose 2
    MedDRA: Discomfort, Headache, Oropharyngeal pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Back in December I experienced head aches, sore throat and body discomfort so I was tested 7 days after and again 14 days after both times negative.
    MedDRA releases: 2024-11 · check-in free text available
  31. 2022-04-26
    Dose 4 — Moderna
  32. 2022-04-28
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Swelling · None
    Adult check-in
  33. 2022-04-29
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  34. 2022-04-30
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  35. 2022-05-01
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  36. 2022-05-05
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-05-10
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-05-17
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-24
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-06-02
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-06-07
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-11Moderna
22021-02-08Moderna
32021-10-28Moderna No
42022-04-26Moderna No

Free text

Release 3 — day 21, dose 1

2021-02-01

Symptoms: Head aches. Normally, I rarely get headaches but have experienced it for the past few days.

Release 3 — day 0, dose 2

2021-02-08

Systemic reaction (other): Second day of vaccine, feverish, fatigue, headaches

Release 4 — days 1–6 daily, dose 2

2021-02-14

Systemic reaction (other): No

Release 4 — day 7, dose 2

2021-02-15

Systemic reaction (other): No

Release 6 — day 42, dose 2

2021-03-22

Symptoms: Tired. Need to rest more between chores but not enough to cripple me.

Release 8 — 3 months, dose 2

2021-05-10

Symptoms: Undergoing radiation therapy for breast cancer.

Release 9 — 6 months, dose 2

2021-08-09

Symptoms: Burning eyes, headaches, tired, sluggish. This was two weeks ago so my doctor suggested I have a Covid test to make sure. I did and it was negative.

Release 11 — 12 months, dose 2

2022-02-08

Symptoms: Back in December I experienced head aches, sore throat and body discomfort so I was tested 7 days after and again 14 days after both times negative.

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

FieldPreferred term2021-092023-042024-11
SDDiscomfort · · ✓
SDEye irritation ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRadiotherapy ✓ ✓ ✓
SDSARS-CoV-2 test negative ✓ · ✓
SDSluggishness ✓ · ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

✓ active code · ○ coded but marked inactive · blank = not in that release

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