5HP-25483-55038
4 vaccinations
15 coded responses
42 check-ins
15 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 829 / WY
- Registered
- 2021-02-07
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-02-04
Dose 1 — Moderna
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2021-02-07
Registered in v-safe
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2021-02-07
Survey response — days 1–6 daily, dose 1MedDRA: Oxygen saturation decreased — Feeling: Fair · Fever · Be unable to do your normal daily activitiesFree text: Low O2 readingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-08
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2021-02-09
Survey response — days 1–6 daily, dose 1MedDRA: Oral herpes, Pyrexia — Feeling: FairFree text: Fever ( cold sores)MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-02-11
Survey response — day 7, dose 1MedDRA: Oral herpes, Pyrexia — Feeling: Good · Be unable to workFree text: Fever ( cold sores) healingMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-02-18
- 2021-02-25
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2021-03-04
Dose 2 — Moderna
- 2021-03-04
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2021-03-05
Survey response — days 1–6 daily, dose 2MedDRA: Pyrexia — Feeling: Poor · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesFree text: FeverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fever · Chills, Joint pains, Muscle or body aches · Be unable to do your normal daily activitiesAdult check-in
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2021-03-07
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Fair · FeverFree text: Rapid heart beat- last few days- down(better) today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-18
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2021-03-25
Survey response — day 21, dose 2MedDRA: Unevaluable event — Feeling: GoodFree text: Memory - and i dont think its normal aging. But handling it - being more awareMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-01
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2021-04-08
Survey response — day 35, dose 2MedDRA: Memory impairment — Feeling: GoodFree text: Memory- seems like I'm forgetting or habing a hard time recalling sometimesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-15
Survey response — day 42, dose 2MedDRA: Alopecia — Feeling: GoodFree text: Hair loss-MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-03
Survey response — 3 months, dose 2MedDRA: Memory impairment — Feeling: GoodFree text: Memory recollection sometimesMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-04
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2021-10-27
Dose 3 — Moderna
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2021-10-29
Survey response — days 1–6 daily, dose 3MedDRA: Pyrexia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tirednessFree text: FeverMedDRA releases: 2024-11 · check-in free text available
- 2021-10-30
- 2021-10-31
- 2021-11-01
- 2021-11-02
- 2021-11-03
- 2021-11-10
- 2021-11-17
- 2021-11-24
- 2021-12-01
- 2021-12-08
- 2022-01-26
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2022-04-06
Dose 4 — Moderna
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2022-04-19
Survey response — day 7, dose 4MedDRA: Oral herpes — Feeling: Fair · Site: Pain · Muscle or body achesFree text: Cold sores on nose. Healing.MedDRA releases: 2024-11 · check-in free text available
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2022-04-20
Survey response — day 14, dose 4MedDRA: Oral herpes, Pyrexia, Unevaluable event — Feeling: FairFree text: Forgot to mention I had a fever after the booster. Ok now. Arm better. Fever blisters healing.MedDRA releases: 2024-11 · check-in free text available
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2022-04-27
Survey response — day 21, dose 4MedDRA: Muscular weakness, Pain, Pain in extremity — Feeling: Fair · Be unable to do your normal daily activitiesFree text: The arm that the vacccine was injected in really hurts when i use it. Also weakness in the arm.MedDRA releases: 2024-11 · check-in free text available
- 2022-05-04
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2022-05-11
Survey response — day 35, dose 4MedDRA: Pain in extremity — Feeling: FairFree text: Arm still hurts!MedDRA releases: 2024-11 · check-in free text available
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2022-05-19
Survey response — day 42, dose 4MedDRA: Muscular weakness, Pain in extremity — Feeling: FairFree text: Arm that the shot was given in still hurts and feels weaker if used...MedDRA releases: 2024-11 · check-in free text available
- 2022-07-06
- 2022-10-06
- 2023-04-06
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-04 | Moderna | |
| 2 | 2021-03-04 | Moderna | |
| 3 | 2021-10-27 | Moderna | No |
| 4 | 2022-04-06 | Moderna | No |
Free text
Release 3 — days 1–6 daily, dose 1
Systemic reaction (other): Low O2 reading
Systemic reaction (other): Fever ( cold sores)
Release 4 — day 7, dose 1
Systemic reaction (other): Fever ( cold sores) healing
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Fever
Systemic reaction (other): Rapid heart beat- last few days- down(better) today.
Release 6 — day 21, dose 2
Symptoms: Memory - and i dont think its normal aging. But handling it - being more aware
Release 7 — day 35, dose 2
Symptoms: Memory- seems like I'm forgetting or habing a hard time recalling sometimes
Release 7 — day 42, dose 2
Symptoms: Hair loss-
Release 8 — 3 months, dose 2
Symptoms: Memory recollection sometimes
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Fever
Release 11 — day 7, dose 4
Systemic reaction (other): Cold sores on nose. Healing.
Release 11 — day 14, dose 4
Symptoms: Forgot to mention I had a fever after the booster. Ok now. Arm better. Fever blisters healing.
Release 11 — day 21, dose 4
Symptoms: The arm that the vacccine was injected in really hurts when i use it. Also weakness in the arm.
Release 11 — day 35, dose 4
Symptoms: Arm still hurts!
Release 11 — day 42, dose 4
Symptoms: Arm that the shot was given in still hurts and feels weaker if used...
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 | Alopecia | ✓ | ✓ | ✓ |
| SD | Memory impairment | ✓ | ✓ | ✓ |
| SD | Muscular weakness | · | · | ✓ |
| SD | Oral herpes | · | · | ✓ |
| SD | Pain | · | · | ✓ |
| SD | Pain in extremity | · | · | ✓ |
| SD | Pyrexia | · | · | ✓ |
| SD | Unevaluable event | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Oral herpes | ✓ | ✓ | ✓ |
| SRO | Oxygen saturation decreased | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release