5M4-12357-47066
3 vaccinations
5 coded responses
41 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 922 / CA
- Registered
- 2021-01-16
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-16
Registered in v-safe
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2021-01-16
Dose 1 — Moderna
- 2021-01-16
- 2021-01-17
- 2021-01-18
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2021-01-19
Survey response — days 1–6 daily, dose 1MedDRA: Nausea — Feeling: Good · Site: Pain, Swelling · NauseaFree text: Nausea last night and mild nausea today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-01-21
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain, Swelling · NauseaAdult check-in
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2021-01-22
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, NauseaAdult check-in
- 2021-01-23
- 2021-01-30
- 2021-02-07
- 2021-02-14
- 2021-02-20
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2021-02-27
Dose 2 — Moderna
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2021-02-27
Health check-in — day 0, dose 2Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-02-28
Survey response — days 1–6 daily, dose 2MedDRA: Visual impairment — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: I had a vision impairment that made me think I was having a stroke. Maybe it was ocular migraine?MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-03-03
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain, Swelling · Headache · Be unable to workAdult check-in
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2021-03-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-03-05
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2021-03-06
Health check-in — day 7, dose 2Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-13
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2021-03-20
Survey response — day 21, dose 2MedDRA: Fatigue, Headache — Feeling: FairFree text: Headache and fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 28, dose 2MedDRA: Chills, Fatigue, Headache, Pain, Pain in extremity, Pyrexia — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I feel fatigue almost all the time. I have a continuous dull headache. Its been since the second injection. I had low fever, body aches, chills, and arm pain but most subsided in about four days. But this fatigue and headache feeling is unpleasantMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-03
- 2021-04-10
- 2021-05-29
- 2021-08-28
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2021-11-13
Dose 3 — Moderna
- 2021-11-13
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2021-11-14
Health check-in — days 1–6 daily, dose 3Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
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2021-11-15
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-16
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-11-17
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
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2021-11-18
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-19
- 2021-11-20
- 2021-11-27
- 2021-12-04
- 2021-12-13
- 2021-12-18
- 2021-12-26
- 2022-02-13
- 2022-05-15
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2022-11-13
Survey response — 12 months, dose 3MedDRA: Anosmia, COVID-19, Cough, Fatigue, Pain, Pyrexia, Respiratory tract congestion, SARS-CoV-2 test positive, Stomatitis — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Recovering from Covid 19. Tested positive 10/22. Four days of fever 104, loss of smell, sever congestion, body aches,caused sores inside my mouth. Lingering symptoms, loss of smell still, cough, head congestion, fatigue.MedDRA releases: 2024-11 · check-in free text available
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-16 | Moderna | |
| 2 | 2021-02-27 | Moderna | |
| 3 | 2021-11-13 | Moderna | No |
Free text
Release 2 — days 1–6 daily, dose 1
Systemic reaction (other): Nausea last night and mild nausea today.
Release 4 — days 1–6 daily, dose 2
Systemic reaction (other): I had a vision impairment that made me think I was having a stroke. Maybe it was ocular migraine?
Release 6 — day 21, dose 2
Symptoms: Headache and fatigue
Release 6 — day 28, dose 2
Symptoms: I feel fatigue almost all the time. I have a continuous dull headache. Its been since the second injection. I had low fever, body aches, chills, and arm pain but most subsided in about four days. But this fatigue and headache feeling is unpleasant
Release 12 — 12 months, dose 3
Symptoms: Recovering from Covid 19. Tested positive 10/22. Four days of fever 104, loss of smell, sever congestion, body aches,caused sores inside my mouth. Lingering symptoms, loss of smell still, cough, head congestion, fatigue.
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 | Anosmia | · | · | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Cough | · | · | ✓ |
| SD | COVID-19 | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Pain | ✓ | ✓ | ✓ |
| SD | Pain in extremity | ✓ | ✓ | ✓ |
| SD | Pyrexia | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | SARS-CoV-2 test positive | · | · | ✓ |
| SD | Stomatitis | · | · | ✓ |
| SRO | Nausea | ✓ | ✓ | ✓ |
| SRO | Visual impairment | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release