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5Q2-16595-61045

1 vaccination 4 coded responses 12 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
665 / KS
Registered
2021-02-14
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-11
    Dose 1 — Moderna
  2. 2021-02-14
    Registered in v-safe
  3. 2021-02-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Colitis, Pre-existing disease — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: I have to have a remicade infusion every 8 weeks due to colitis. I also take synthroid, losartan, simvastatin, tramadol & sulfasalazin plus asst vitamins & culturelle.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Head discomfort, Somnolence — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness
    Free text: Very sleepy, slight medicine head
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Redness, Swelling, Itching · Chills, Headache, Fatigue or tiredness
    Adult check-in
  6. 2021-02-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Anxiety — Feeling: Good · Site: Itching · Headache
    Free text: Just anxiety over having to get the second shot considering how I reacted after the first one!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-02-18
    Health check-in — day 7, dose 1
    Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness
    Adult check-in
  8. 2021-02-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-03-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-11
    Survey response — day 28, dose 1
    MedDRA: Asthenia, Decreased appetite, Diarrhoea, Dizziness — Feeling: Fair · Be unable to do your normal daily activities
    Free text: At 5:30am Tues I awoke with severe diarrhea. It lasted until thurs am so my shot was postponed for a few days. Im better but not good, no energy & not much appetite. I do try to drink a lot. No fever but dizzy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-03-18
    Health check-in — day 35, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-03-25
    Health check-in — day 42, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-05-13
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-08-12
    Health check-in — 6 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-11Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-14

Systemic reaction (other): I have to have a remicade infusion every 8 weeks due to colitis. I also take synthroid, losartan, simvastatin, tramadol & sulfasalazin plus asst vitamins & culturelle.

2021-02-15

Systemic reaction (other): Very sleepy, slight medicine head

2021-02-17

Systemic reaction (other): Just anxiety over having to get the second shot considering how I reacted after the first one!

Release 5 — day 28, dose 1

2021-03-11

Symptoms: At 5:30am Tues I awoke with severe diarrhea. It lasted until thurs am so my shot was postponed for a few days. Im better but not good, no energy & not much appetite. I do try to drink a lot. No fever but dizzy.

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
SDAsthenia ✓ ✓ ✓
SDDecreased appetite ✓ ✓ ✓
SDDiarrhoea ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SROAnxiety ✓ ✓ ✓
SROColitis ✓ ✓ ✓
SROHead discomfort ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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