542-17707-70341
3 vaccinations
7 coded responses
28 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 531 / WI
- Registered
- 2021-03-25
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-25
Registered in v-safe
-
2021-03-25
Dose 1 — Moderna
- 2021-03-25
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2021-03-26
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush — Feeling: Fair · Site: Pain · Chills, Fatigue or tirednessFree text: Hot flashes at night byt i am also perimenopausalMedDRA 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 1MedDRA: Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessFree text: The fever was at bedtime last night...it broke by 6am. Hasnt come backMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-28
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Lip swelling — Feeling: Good · Fatigue or tirednessFree text: I used my inhaler for the first time. My lips seem a little swollen now. Hasnt happened before.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-30
- 2021-03-31
- 2021-04-01
- 2021-04-08
- 2021-04-15
-
2021-04-22
Dose 2 — Moderna
- 2021-04-22
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2021-04-23
Survey response — days 1–6 daily, dose 2MedDRA: Nausea — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaFree text: But i started an antibotic today and didnt eat with a snack. Think nauseau may be from that.... i was fine about 30 minutes after snacking.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-24
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2021-04-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-04-26
- 2021-04-27
- 2021-04-28
- 2021-04-29
- 2021-05-06
- 2021-05-13
- 2021-05-20
- 2021-05-27
- 2021-06-03
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2021-07-22
Survey response — 3 months, dose 2MedDRA: Fatigue — Feeling: FairFree text: I find myself much more tired, and such.MedDRA releases: 2024-11 · check-in free text available
- 2021-10-21
-
2021-12-20
Dose 3 — Moderna
- 2022-04-22
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2022-06-22
Survey response — 6 months, dose 3MedDRA: Glucose tolerance impaired, Hyperglycaemia, Office visit, Prehypertension — Feeling: Fair · Get care from a doctor or other healthcare professionalFree text: Symptoms: Diagnosed pre-hypertensive and pre-diabetic (hyperglycemia) · Healthcare visit (other): In person visitMedDRA releases: 2024-11 · check-in free text available
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2022-06-22
Report sent to call center — 6 months, dose 3Get care from a doctor or other healthcare professional1 call case(s)
- 2022-06-23
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2022-12-20
Survey response — 12 months, dose 3MedDRA: Anosmia, COVID-19, Fatigue — Feeling: FairFree text: Swnse of smell has not fully returned since Covid positive the wnd of July. Still very tired after Covid.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-25 | Moderna | |
| 2 | 2021-04-22 | Moderna | |
| 3 | 2021-12-20 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Hot flashes at night byt i am also perimenopausal
Systemic reaction (other): The fever was at bedtime last night...it broke by 6am. Hasnt come back
Systemic reaction (other): I used my inhaler for the first time. My lips seem a little swollen now. Hasnt happened before.
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): But i started an antibotic today and didnt eat with a snack. Think nauseau may be from that.... i was fine about 30 minutes after snacking.
Release 9 — 3 months, dose 2
Symptoms: I find myself much more tired, and such.
Release 12 — 6 months, dose 3
Symptoms: Diagnosed pre-hypertensive and pre-diabetic (hyperglycemia)
Healthcare visit (other): In person visit
Release 12 — 12 months, dose 3
Symptoms: Swnse of smell has not fully returned since Covid positive the wnd of July. Still very tired after Covid.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Anosmia | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Glucose tolerance impaired | · | · | ✓ |
| SD | Hyperglycaemia | · | · | ✓ |
| SD | Prehypertension | · | · | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Lip swelling | ✓ | ✓ | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release