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59U-16793-82542

3 vaccinations 4 coded responses 20 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
441 / OH
Registered
2021-03-02
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-02
    Registered in v-safe
  2. 2021-03-02
    Dose 1 — Moderna
  3. 2021-03-02
    Health check-in — day 0, dose 1
    Feeling: Good · None
    Adult check-in
  4. 2021-03-03
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Nasal congestion, Pain in extremity, Respiratory tract congestion — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Vomiting, Abdominal pain · Be unable to do your normal daily activities
    Free text: As of 11pm brief wave of dizziness. Pain in left heel which I experienced when I had Covid in November 2020. The pain has since dissipated. Nose congestion and some respiratory congestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Injection site pain — Feeling: Good · Headache
    Free text: Mild headache and soreness at injection site have pretty much dissipated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-09
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-16
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-23
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-03-30
    Dose 2 — Moderna
  14. 2021-04-06
    Survey response — day 7, dose 2
    MedDRA: Fatigue, Headache, Pyrexia — Feeling: Good · Site: Pain
    Free text: A few hours after vaccination I had 101 fever headache fatigue The fatigue lasted one day. All is well now
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-29
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-09-28
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-10-16
    Dose 3 — Moderna
  19. 2021-10-29
    Survey response — day 7, dose 3
    MedDRA: Decreased appetite, Headache, Injection site pain, Pyrexia — Feeling: Good
    Free text: Both my husband and I were sick for 36 hours after our shot. Sore arm at injection site. Fever 100.4 no appetite and headache.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2021-10-30
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  21. 2021-11-06
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-11-13
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-11-20
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  24. 2021-11-27
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-02Moderna
22021-03-30Moderna
32021-10-16Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-03

Systemic reaction (other): As of 11pm brief wave of dizziness. Pain in left heel which I experienced when I had Covid in November 2020. The pain has since dissipated. Nose congestion and some respiratory congestion.

2021-03-04

Systemic reaction (other): Mild headache and soreness at injection site have pretty much dissipated

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): A few hours after vaccination I had 101 fever headache fatigue The fatigue lasted one day. All is well now

Release 10 — day 7, dose 3

2021-10-29

Systemic reaction (other): Both my husband and I were sick for 36 hours after our shot. Sore arm at injection site. Fever 100.4 no appetite and headache.

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
SRODecreased appetite · · ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SRONasal congestion ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SRORespiratory tract congestion ✓ ✓ ✓

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