5E2-16039-43147
2 vaccinations
5 coded responses
16 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 195 / PA
- Registered
- 2021-01-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-01-27
Registered in v-safe
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2021-01-27
Dose 1 — Moderna
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2021-01-28
Survey response — days 1–6 daily, dose 1MedDRA: Cold sweat, Pyrexia — Feeling: Fair · Site: Pain · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Low grade fever & clamyMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-29
Survey response — days 1–6 daily, dose 1MedDRA: Abdominal discomfort, Tremor — Feeling: Fair · Site: Pain · Headache, Abdominal pain · Be unable to do your normal daily activitiesFree text: I have an interior irritable shake. Its exactly like when I have my period. But I dont currently have it. I never get headaches so I know its from the shot. Today my stomach was a little upset. ALL mild & managable.MedDRA 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: Unevaluable event — Feeling: Good · HeadacheFree text: I dont normally get headaches- todays is very mild & no Tylenol neededMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-01
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2021-02-05
Survey response — day 7, dose 1MedDRA: Unevaluable event — Feeling: Poor · Fever · Chills, Headache, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesFree text: Where the heck did ALL this come from today - after a week?!?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-10
Survey response — day 14, dose 1MedDRA: Abdominal pain upper, Fatigue, Headache, Hypersomnia — Feeling: Good · Be unable to work, Be unable to do your normal daily activitiesFree text: Day 9 & 10 I had a headache, stomach ache and felt exhausted (slept an additional 4 hr each day)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-17
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2021-02-24
Dose 2 — Moderna
- 2021-02-24
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2021-02-25
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache, Fatigue or tirednessAdult check-in
- 2021-03-03
- 2021-03-10
- 2021-03-24
- 2021-03-31
- 2021-04-07
- 2021-08-25
- 2022-02-24
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-27 | Moderna | |
| 2 | 2021-02-24 | Moderna |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Low grade fever & clamy
Systemic reaction (other): I have an interior irritable shake. Its exactly like when I have my period. But I dont currently have it. I never get headaches so I know its from the shot. Today my stomach was a little upset. ALL mild & managable.
Systemic reaction (other): I dont normally get headaches- todays is very mild & no Tylenol needed
Release 3 — day 7, dose 1
Systemic reaction (other): Where the heck did ALL this come from today - after a week?!?
Release 4 — day 14, dose 1
Symptoms: Day 9 & 10 I had a headache, stomach ache and felt exhausted (slept an additional 4 hr each day)
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 | Abdominal pain upper | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Hypersomnia | · | · | ✓ |
| SRO | Abdominal discomfort | ✓ | ✓ | ✓ |
| SRO | Cold sweat | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Tremor | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release