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5FW-13247-17073

2 vaccinations 12 coded responses 20 check-ins 12 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
841 / UT
Registered
2021-02-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-13
    Dose 1 — Moderna
  2. 2021-02-19
    Registered in v-safe
  3. 2021-02-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Body temperature increased, Pyrexia — Feeling: Fair · Site: Pain, Redness · Fever · Headache
    Free text: I only felt feverish but didn't have elevated temp
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-20
    Survey response — day 7, dose 1
    MedDRA: Arthralgia, Induration, Lymphadenopathy — Feeling: Good · Joint pains
    Free text: Yesterday I meant to report that my lymph node in my neck was swollen & hard. I can still feel it but its smaller but still hard. The joint where the thumb joins wrist has been sore since last night. Might have nothing to do with vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-27
    Survey response — day 14, dose 1
    MedDRA: Injection site pain, Injection site warmth — Feeling: Good
    Free text: Two days ago the injection site got tender, again and was 1° hotter than forehead temp. Otherwise I feel good.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-06
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-13
    Dose 2 — Moderna
  8. 2021-03-13
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good · Headache
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-14
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased, Malaise — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: 103° temperature about 3AM. It was about 100° a few hours later. Its been up and down all day and its 100.5° right now at 3:30 PM. I am just miserable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-15
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: The high fever was gone when I woke up at 5AM and has not returned. That was a horrible 30 hours to have to endure.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Only had fevers during night last two nights.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia, Fatigue, Insomnia, Pyrexia — Feeling: Fair · Site: Swelling · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fever is mainly during the night. Four nights of losing sleep due to fever is making me so weak & tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-18
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia — Feeling: Good · Fever · Headache
    Free text: Fever throughout night again. It was 101.8 when I woke up & returned to normal 20 minutes after I got up. Is this normal?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-19
    Survey response — days 1–6 daily, dose 2
    MedDRA: Headache, Pyrexia — Feeling: Good · Fever · Headache
    Free text: Feel good except for a slight headache. Fever during the night, again, ranging from 98.3 to 102.4.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-20
    Survey response — day 7, dose 2
    MedDRA: Body temperature increased — Feeling: Good · Fever
    Free text: I need to know is if during sleep is it normal to have a temperature ranging from 98-103? Or is it something from the vaccine?
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-03-27
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-04-03
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-04-10
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-04-17
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-24
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-06-12
    Survey response — 3 months, dose 2
    MedDRA: Decreased appetite, Loss of personal independence in daily activities, Pyrexia — Feeling: Good
    Free text: Needed tetanus shot after cutting finger with hand pruners. 15 hours after shot I got a high fever for 2 days. 99-103. Didnt eat for 42 hours. So unable to do normal routine during this time.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-09-11
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  23. 2022-03-13
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-13Moderna
22021-03-13Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-19

Systemic reaction (other): I only felt feverish but didn't have elevated temp

Release 4 — day 7, dose 1

2021-02-20

Systemic reaction (other): Yesterday I meant to report that my lymph node in my neck was swollen & hard. I can still feel it but its smaller but still hard. The joint where the thumb joins wrist has been sore since last night. Might have nothing to do with vaccine.

Release 4 — day 14, dose 1

2021-02-27

Symptoms: Two days ago the injection site got tender, again and was 1° hotter than forehead temp. Otherwise I feel good.

Release 5 — day 0, dose 2

2021-03-13

Systemic reaction (other): None

Release 5 — days 1–6 daily, dose 2

2021-03-14

Systemic reaction (other): 103° temperature about 3AM. It was about 100° a few hours later. Its been up and down all day and its 100.5° right now at 3:30 PM. I am just miserable.

2021-03-15

Systemic reaction (other): The high fever was gone when I woke up at 5AM and has not returned. That was a horrible 30 hours to have to endure.

2021-03-16

Systemic reaction (other): Only had fevers during night last two nights.

2021-03-17

Systemic reaction (other): Fever is mainly during the night. Four nights of losing sleep due to fever is making me so weak & tired.

2021-03-18

Systemic reaction (other): Fever throughout night again. It was 101.8 when I woke up & returned to normal 20 minutes after I got up. Is this normal?

2021-03-19

Systemic reaction (other): Feel good except for a slight headache. Fever during the night, again, ranging from 98.3 to 102.4.

Release 6 — day 7, dose 2

2021-03-20

Systemic reaction (other): I need to know is if during sleep is it normal to have a temperature ranging from 98-103? Or is it something from the vaccine?

Release 9 — 3 months, dose 2

2021-06-12

Symptoms: Needed tetanus shot after cutting finger with hand pruners. 15 hours after shot I got a high fever for 2 days. 99-103. Didnt eat for 42 hours. So unable to do normal routine during this time.

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
SDDecreased appetite ✓ ✓ ✓
SDInjection site pain ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDLoss of personal independence in daily activities ✓ ✓ ✓
SDPyrexia ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROBody temperature increased ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInduration ✓ ✓ ✓
SROInsomnia ✓ ✓ ✓
SROLymphadenopathy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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

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