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5FW-23480-66400

2 vaccinations 6 coded responses 24 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
847 / UT
Registered
2021-03-18
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Registered in v-safe
  2. 2021-03-18
    Dose 1 — Moderna
  3. 2021-03-19
    Survey response — days 1–6 daily, dose 1
    MedDRA: Headache, Self-medication — Feeling: Good
    Free text: I did have a headache last night (which was the day of my vaccine). Excedrine took it away
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good
    Free text: Injection site has been tender for the last two days but not painful.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-04-01
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-15
    Dose 2 — Moderna
  13. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Headache, Fatigue or tiredness
    Adult check-in
  14. 2021-04-16
    Survey response — days 1–6 daily, dose 2
    MedDRA: Feeling abnormal, Headache — Feeling: Fair · Site: Pain · Fatigue or tiredness
    Free text: Kind of a brain fog and mild headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Adverse reaction — Feeling: Good
    Free text: All my Mild symptoms disappeared after 40 hours or so.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-20
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-04-24
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  21. 2021-05-01
    Survey response — day 14, dose 2
    MedDRA: Chills, Fatigue — Feeling: Good
    Free text: On April 28, 2021, the 13th day after my 2nd COVID-19 vaccine, during the evening and throughout the night I experienced chills and an overall run down feeling like I was coming down with something. No fever though. I felt better in the morning.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-13
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-20
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-29
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-07-17
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-10-14
    Survey response — 6 months, dose 2
    MedDRA: Ageusia, Anosmia, Cough, Malaise, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Good · Be unable to do your normal daily activities
    Free text: I had COVID-19 symptoms in mid Sept. Sore throat, cough, congestion and loss of taste and smell. I had a COVID-19 test done and it was negative.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-19

Systemic reaction (other): I did have a headache last night (which was the day of my vaccine). Excedrine took it away

Release 6 — days 1–6 daily, dose 1

2021-03-20

Systemic reaction (other): Injection site has been tender for the last two days but not painful.

Release 7 — days 1–6 daily, dose 2

2021-04-16

Systemic reaction (other): Kind of a brain fog and mild headache.

2021-04-17

Systemic reaction (other): All my Mild symptoms disappeared after 40 hours or so.

Release 8 — day 14, dose 2

2021-05-01

Symptoms: On April 28, 2021, the 13th day after my 2nd COVID-19 vaccine, during the evening and throughout the night I experienced chills and an overall run down feeling like I was coming down with something. No fever though. I felt better in the morning.

Release 10 — 6 months, dose 2

2021-10-14

Symptoms: I had COVID-19 symptoms in mid Sept. Sore throat, cough, congestion and loss of taste and smell. I had a COVID-19 test done and it was negative.

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
SDAgeusia · · ✓
SDAnosmia · · ✓
SDChills ✓ ✓ ✓
SDCough · · ✓
SDFatigue ✓ ✓ ✓
SDMalaise · · ✓
SDOropharyngeal pain · · ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SROAdverse reaction ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓

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