57J-18479-70066
4 vaccinations
7 coded responses
44 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 549 / WI
- Registered
- 2021-01-26
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-26
Registered in v-safe
-
2021-01-26
Dose 1 — Moderna
- 2021-01-26
-
2021-01-27
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-01-28
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: Fair · Fatigue or tirednessFree text: Feeling groggyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-30
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: Fair · Fatigue or tirednessFree text: I was doing fine till mid afternoon. Then got groggy like yesterday.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-31
Survey response — days 1–6 daily, dose 1MedDRA: Dizziness — Feeling: Poor · Fatigue or tiredness, Nausea, Vomiting · Be unable to do your normal daily activitiesFree text: Dizziness. I may just have vertigo. Not as bad as the first time i had it. The world wasnt spining.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-01
Survey response — days 1–6 daily, dose 1MedDRA: Somnolence — Feeling: Fair · Fatigue or tirednessFree text: Just groggy most of the day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-02
- 2021-02-09
- 2021-02-16
-
2021-02-23
Dose 2 — Moderna
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2021-02-23
Survey response — day 0, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Still get those brain daze episodes. I can still function when i get them. I think they might be related to my thyroid medication.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-24
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-02-25
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal — Feeling: Good · Site: PainFree text: Just a little brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-26
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-02-28
- 2021-03-01
- 2021-03-02
- 2021-03-09
- 2021-03-16
- 2021-03-23
- 2021-03-30
- 2021-04-06
- 2021-05-25
- 2021-08-24
-
2021-10-24
Dose 3 — Moderna
- 2021-10-26
- 2021-10-27
- 2021-10-28
- 2021-10-29
- 2021-10-31
- 2021-11-07
- 2021-11-14
- 2021-11-21
- 2021-11-28
- 2021-12-05
- 2022-01-23
- 2022-04-26
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2022-04-29
Dose 4 — Moderna
- 2022-05-18
- 2022-05-20
- 2022-05-27
- 2022-06-03
- 2022-06-10
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2022-07-30
Survey response — 3 months, dose 4MedDRA: Pain in extremity, Pre-existing disease — Feeling: Fair · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: I have bulging discs causing leg pain. Old age is most likely the reason for it.MedDRA releases: 2024-11 · check-in free text available
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2022-07-30
Report sent to call center — 3 months, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
-
2022-08-01
Call successfulNot applicable – Participant does not believe symptoms are related to vaccine and does not wish to fill
- 2022-10-28
- 2023-05-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-26 | Moderna | |
| 2 | 2021-02-23 | Moderna | |
| 3 | 2021-10-24 | Moderna | No |
| 4 | 2022-04-29 | Moderna | No |
Call center
1 call center case
1 successful
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Feeling groggy
Systemic reaction (other): I was doing fine till mid afternoon. Then got groggy like yesterday.
Systemic reaction (other): Dizziness. I may just have vertigo. Not as bad as the first time i had it. The world wasnt spining.
Systemic reaction (other): Just groggy most of the day.
Release 4 — day 0, dose 2
Systemic reaction (other): Still get those brain daze episodes. I can still function when i get them. I think they might be related to my thyroid medication.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): Just a little brain fog
Release 12 — 3 months, dose 4
Symptoms: I have bulging discs causing leg pain. Old age is most likely the reason for it.
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 | Pain in extremity | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Somnolence | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release