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567-28430-28587

2 vaccinations 5 coded responses 22 check-ins 5 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
959 / CA
Registered
2021-02-06
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-06
    Registered in v-safe
  2. 2021-02-06
    Dose 1 — Moderna
  3. 2021-02-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Joint pains · Be unable to work
    Adult check-in
  4. 2021-02-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Muscle or body aches, Abdominal pain
    Adult check-in
  5. 2021-02-10
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal, Insomnia — Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness
    Free text: a little brain fog, trouble sleeping last night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-02-11
    Survey response — days 1–6 daily, dose 1
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain · Chills, Joint pains, Abdominal pain
    Free text: I forgot to mention at the beginning I have ringing in my ears. After the vaccine the ringing has become louder. Just a FYI.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  8. 2021-02-13
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  9. 2021-02-20
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-02-28
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-03
    Dose 2 — Moderna
  12. 2021-03-03
    Health check-in — day 0, dose 2
    Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work
    Adult check-in
  14. 2021-03-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Erythema, Injection site pain, Injection site swelling — Feeling: Fair · Site: Redness · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to work
    Free text: FOGGY FORGOT TO MENTION: Had vaccine on Wednesday 3/3/21, Had 2 temperatures (1) 3/4/21 of 103.0 at 3:30 am (2) 3/4/21 of 102.3 at 3:45 pm. Also had swelling and pain in the injection site, took shower today and is still red.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Bowel movement irregularity — Feeling: Fair · Site: Pain, Redness · Headache, Joint pains, Muscle or body aches, Abdominal pain · Be unable to do your normal daily activities
    Free text: Having a hard time doing a bowel movment
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain
    Adult check-in
  17. 2021-03-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  18. 2021-03-10
    Health check-in — day 7, dose 2
    Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  19. 2021-03-20
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-03-25
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-07
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-14
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-06-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-09-01
    Survey response — 6 months, dose 2
    MedDRA: Memory impairment — Feeling: Good
    Free text: Seem to be a little more forgetful.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  25. 2022-03-05
    Health check-in — 12 months, dose 2
    Feeling: Fair
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-06Moderna
22021-03-03Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-10

Systemic reaction (other): a little brain fog, trouble sleeping last night

2021-02-11

Systemic reaction (other): I forgot to mention at the beginning I have ringing in my ears. After the vaccine the ringing has become louder. Just a FYI.

Release 5 — days 1–6 daily, dose 2

2021-03-05

Systemic reaction (other): FOGGY FORGOT TO MENTION: Had vaccine on Wednesday 3/3/21, Had 2 temperatures (1) 3/4/21 of 103.0 at 3:30 am (2) 3/4/21 of 102.3 at 3:45 pm. Also had swelling and pain in the injection site, took shower today and is still red.

2021-03-06

Systemic reaction (other): Having a hard time doing a bowel movment

Release 9 — 6 months, dose 2

2021-09-01

Symptoms: Seem to be a little more forgetful.

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
SDMemory impairment ✓ · ✓
SROBody temperature increased ✓ ✓ ✓
SROBowel movement irregularity ✓ ✓ ✓
SROErythema ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROInjection site swelling ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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