58Z-77601-45945
3 vaccinations
10 coded responses
35 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 041 / ME
- Registered
- 2021-03-30
- Relationship
- Self
- Race
- N/A
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-30
Registered in v-safe
-
2021-03-30
Dose 1 — Moderna
- 2021-03-30
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injection site pain — Feeling: GoodFree text: Sore shoulder above injection site on left arm (non dominant arm)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-02
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Neck pain — Feeling: GoodFree text: Vaccine given in left arm, shoulder and neck area continues to be mildly soreMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
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2021-04-04
Survey response — days 1–6 daily, dose 1MedDRA: Musculoskeletal discomfort — Feeling: GoodFree text: Shoulder and neck area above shot site continue with minor discomfortMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-05
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Neck pain — Feeling: GoodFree text: Shoulder and neck pain above shot site lesseningMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-06
- 2021-04-13
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2021-04-20
Survey response — day 21, dose 1MedDRA: Asthenia, Fatigue — Feeling: GoodFree text: Tired and less energy for about the last 10 daysMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-27
Survey response — day 28, dose 1MedDRA: Hot flush, Sluggishness — Feeling: GoodFree text: Sluggish and every day around 4:00 a.m. I get a wave of heat flash which has been happening daily for 2 weeks. Hear flash wakes me out of sound sleep and lasts for about 2 minutes. Only once a day around the hour mentioned.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-28
Dose 2 — Moderna
- 2021-04-28
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2021-04-29
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · HeadacheAdult check-in
- 2021-05-08
- 2021-05-12
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2021-05-19
Survey response — day 21, dose 2MedDRA: Asthenia — Feeling: GoodFree text: Low energy levelMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-05-26
Survey response — day 28, dose 2MedDRA: Hot flush, Sluggishness — Feeling: GoodFree text: Continued, although getting milder, heat flashesContinued sluggish feelingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-02
- 2021-06-09
- 2021-07-28
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2021-11-04
Dose 3 — Moderna
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2021-11-04
Health check-in — day 0, dose 3Feeling: Good · Chills, Headache, Fatigue or tirednessAdult check-in
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2021-11-05
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Chills, HeadacheAdult check-in
- 2021-11-06
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2021-11-07
Survey response — days 1–6 daily, dose 3MedDRA: Respiratory tract congestion — Feeling: Fair · Fever · Chills, HeadacheFree text: Some congestion since boosterMedDRA releases: 2024-11 · check-in free text available
- 2021-11-08
- 2021-11-09
- 2021-11-11
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2021-11-18
Survey response — day 14, dose 3MedDRA: Headache — Feeling: FairFree text: Daily headaches, mild, since booster I have had an onset of headache late afternoon each day. Each day they are lessening in intensityMedDRA releases: 2024-11 · check-in free text available
- 2021-11-26
- 2021-12-02
- 2021-12-09
- 2021-12-16
- 2022-02-03
- 2022-05-05
- 2022-11-04
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-30 | Moderna | |
| 2 | 2021-04-28 | Moderna | |
| 3 | 2021-11-04 | Moderna | No |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Sore shoulder above injection site on left arm (non dominant arm)
Systemic reaction (other): Vaccine given in left arm, shoulder and neck area continues to be mildly sore
Systemic reaction (other): Shoulder and neck area above shot site continue with minor discomfort
Systemic reaction (other): Shoulder and neck pain above shot site lessening
Release 7 — day 21, dose 1
Symptoms: Tired and less energy for about the last 10 days
Release 8 — day 28, dose 1
Symptoms: Sluggish and every day around 4:00 a.m. I get a wave of heat flash which has been happening daily for 2 weeks. Hear flash wakes me out of sound sleep and lasts for about 2 minutes. Only once a day around the hour mentioned.
Release 8 — day 21, dose 2
Symptoms: Low energy level
Release 8 — day 28, dose 2
Symptoms: Continued, although getting milder, heat flashesContinued sluggish feeling
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Some congestion since booster
Release 10 — day 14, dose 3
Symptoms: Daily headaches, mild, since booster I have had an onset of headache late afternoon each day. Each day they are lessening in intensity
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 | Headache | · | · | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Sluggishness | ✓ | ✓ | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Musculoskeletal discomfort | ✓ | ✓ | ✓ |
| SRO | Neck pain | ✓ | ✓ | ✓ |
| SRO | Respiratory tract congestion | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release