55X-15486-99376
2 vaccinations
4 coded responses
21 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 130 / NY
- Registered
- 2021-01-10
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-10
Registered in v-safe
-
2021-01-10
Dose 1 — Moderna
- 2021-01-10
- 2021-01-11
- 2021-01-12
- 2021-01-14
- 2021-01-15
- 2021-01-16
- 2021-01-19
- 2021-01-24
- 2021-02-01
-
2021-02-09
Survey response — day 28, dose 1MedDRA: Fatigue — Feeling: GoodFree text: Fatigue after having a good nights sleep. It lasted a few days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-10
Dose 2 — Moderna
-
2021-02-14
Survey response — days 1–6 daily, dose 2MedDRA: Chills, Pyrexia, Tension headache — Feeling: Good · Site: Pain · Be unable to work, Be unable to do your normal daily activitiesFree text: I had chills, fever, tightness in my head beginning several hours after the shot, during the next day. A day and a half later, I felt fine.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-02-16
Survey response — days 1–6 daily, dose 2MedDRA: Gingival pruritus, Paraesthesia oral — Feeling: GoodFree text: This may seem strange but my gums have felt tingly or itchy since the vaccine. It seems to be abating today, a week after the inoculation.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
-
2021-02-24
Survey response — day 14, dose 2MedDRA: Asthenia, Fatigue, Somnolence — Feeling: FairFree text: I have been very fatigued. Im sleeping well at night but feel like I could use a nap during the day. This began about a week after 2nd shot. Im hoping my normal energy comes back soon.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-03
- 2021-03-10
- 2021-03-17
- 2021-03-24
- 2021-05-12
- 2021-08-11
- 2022-02-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-10 | Moderna | |
| 2 | 2021-02-10 | Moderna |
Free text
Release 3 — day 28, dose 1
Symptoms: Fatigue after having a good nights sleep. It lasted a few days.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had chills, fever, tightness in my head beginning several hours after the shot, during the next day. A day and a half later, I felt fine.
Systemic reaction (other): This may seem strange but my gums have felt tingly or itchy since the vaccine. It seems to be abating today, a week after the inoculation.
Release 4 — day 14, dose 2
Symptoms: I have been very fatigued. Im sleeping well at night but feel like I could use a nap during the day. This began about a week after 2nd shot. Im hoping my normal energy comes back soon.
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 | Asthenia | ✓ | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Somnolence | ✓ | · | ✓ |
| SRO | Chills | ✓ | ✓ | ✓ |
| SRO | Gingival pruritus | ✓ | ✓ | ✓ |
| SRO | Paraesthesia oral | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tension headache | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release