55W-19332-51116
4 vaccinations
7 coded responses
30 check-ins
7 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 321 / FL
- Registered
- 2021-03-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-25
Dose 1 — Moderna
-
2021-03-15
Registered in v-safe
- 2021-03-15
- 2021-03-18
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2021-03-23
Dose 2 — Moderna
-
2021-03-25
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue, Feeling cold, Initial insomnia, Pain — Feeling: GoodFree text: But the evening of the 2nd dose I began to get very tired, I could not fall asleep, was very cold and achy which stayed with me for about 24 hours.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-26
Survey response — days 1–6 daily, dose 2MedDRA: Pruritus, Self-medication, Somnolence — Feeling: Good · Joint painsFree text: Just an odd thing in the middle of the night. The tops of both arms were itchy/odd feeling. No rash. I took Benadryl. Stayed up an hour. Feel asleep. Gone when I woke up.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-27
-
2021-03-28
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Pruritus, Self-medication — Feeling: Good · Site: Itching · NauseaFree text: Got the strange itchy weird feeling on the tops of both lower arms again like 2 nights ago. No rash. Applied CeraVe anti/itch cream and lavender essential oil.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-29
- 2021-03-30
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2021-04-06
Survey response — day 14, dose 2MedDRA: Myalgia, Self-medication — Feeling: GoodFree text: Had an unusual brief episode of sudden, intense pain in my right bicep on Friday (4-2). (This is not my vaccination arm.) Applied topicals, ice & took ibuprofen & acetaminophen. Went away within an hour with absolutely no residual discomfort.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-06-22
- 2021-09-21
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2021-10-06
Dose 3 — Moderna
- 2021-10-29
- 2021-11-04
- 2021-11-11
- 2021-11-17
- 2022-01-05
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2022-04-06
Dose 4 — Moderna
- 2022-04-06
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2022-04-18
Survey response — day 7, dose 4MedDRA: Fatigue, Reaction to previous exposure to any vaccine — Feeling: GoodFree text: I did experience extreme fatigue for 3 days after the second booster. This was unexpected as the previous side effects from the earlier vaccinations only lasted 24 hours.MedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Survey response — day 14, dose 4MedDRA: Fatigue — Feeling: GoodFree text: I'm fatiguing more easily. I experienced almost 4 days of extreme fatigue after my last Covid booster.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-05-04
- 2022-05-11
- 2022-05-18
- 2022-07-06
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2022-10-05
Survey response — 6 months, dose 4MedDRA: Pain in extremity — Feeling: GoodFree text: Aching in my legs and arms most noticeable at night lying down.MedDRA releases: 2024-11 · check-in free text available
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-25 | Moderna | |
| 2 | 2021-03-23 | Moderna | |
| 3 | 2021-10-06 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): But the evening of the 2nd dose I began to get very tired, I could not fall asleep, was very cold and achy which stayed with me for about 24 hours.
Systemic reaction (other): Just an odd thing in the middle of the night. The tops of both arms were itchy/odd feeling. No rash. I took Benadryl. Stayed up an hour. Feel asleep. Gone when I woke up.
Systemic reaction (other): Got the strange itchy weird feeling on the tops of both lower arms again like 2 nights ago. No rash. Applied CeraVe anti/itch cream and lavender essential oil.
Release 7 — day 14, dose 2
Symptoms: Had an unusual brief episode of sudden, intense pain in my right bicep on Friday (4-2). (This is not my vaccination arm.) Applied topicals, ice & took ibuprofen & acetaminophen. Went away within an hour with absolutely no residual discomfort.
Release 11 — day 7, dose 4
Systemic reaction (other): I did experience extreme fatigue for 3 days after the second booster. This was unexpected as the previous side effects from the earlier vaccinations only lasted 24 hours.
Release 11 — day 14, dose 4
Symptoms: I'm fatiguing more easily. I experienced almost 4 days of extreme fatigue after my last Covid booster.
Release 12 — 6 months, dose 4
Symptoms: Aching in my legs and arms most noticeable at night lying down.
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 | Myalgia | ✓ | ✓ | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Feeling cold | ✓ | ✓ | ✓ |
| SRO | Initial insomnia | ✓ | ✓ | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pruritus | ✓ | ✓ | ✓ |
| SRO | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release