549-75565-67976
2 vaccinations
7 coded responses
24 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 198 / DE
- Registered
- 2021-01-24
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-23
Dose 1 — Moderna
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2021-01-24
Registered in v-safe
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2021-01-24
Survey response — days 1–6 daily, dose 1MedDRA: Erythema — Feeling: Good · Site: Pain · Chills, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activitiesFree text: Flush redness on my face, cheeks. All symptoms were very MILD.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-25
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-01-26
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia, Pain, Pre-existing disease — Feeling: Good · Site: Pain · Fatigue or tiredness, Abdominal painFree text: Things that usually hurt are just a bit enhanced & therefore Im having trouble sleeping.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Fatigue or tiredness, Abdominal painAdult check-in
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Gastrointestinal disorder — Feeling: Good · Abdominal painFree text: Still a little abdominal issue, but much better!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-01-29
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2021-02-01
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Good · Abdominal painFree text: Very gassy nothing new in my diet.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-06
- 2021-02-13
- 2021-02-22
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2021-02-26
Dose 2 — Moderna
- 2021-02-26
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2021-02-27
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: No severe abdominal issues for Dose 2. Found out Dose 1 abdominal issues were NOT from the shot, they were from Spoiled Walmart Chicken. Please make a note of that. Thanks.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-01
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Just worn out. Gaining strength back from the ordeal.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Survey response — days 1–6 daily, dose 2MedDRA: Sluggishness — Feeling: Good · Fatigue or tirednessFree text: Still a tad sluggish. But still got things done.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-04
- 2021-03-05
- 2021-03-12
- 2021-03-26
- 2021-04-03
- 2021-04-09
- 2021-05-28
- 2021-08-27
- 2022-02-26
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-23 | Moderna | |
| 2 | 2021-02-26 | Moderna |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Flush redness on my face, cheeks. All symptoms were very MILD.
Systemic reaction (other): Things that usually hurt are just a bit enhanced & therefore Im having trouble sleeping.
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Still a little abdominal issue, but much better!
Release 3 — day 7, dose 1
Systemic reaction (other): Very gassy nothing new in my diet.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): No severe abdominal issues for Dose 2. Found out Dose 1 abdominal issues were NOT from the shot, they were from Spoiled Walmart Chicken. Please make a note of that. Thanks.
Systemic reaction (other): Just worn out. Gaining strength back from the ordeal.
Systemic reaction (other): Still a tad sluggish. But still got things done.
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 |
|---|---|---|---|---|
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Erythema | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Gastrointestinal disorder | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pre-existing disease | ✓ | ✓ | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release