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5Q9-18189-34699

4 vaccinations 7 coded responses 10 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
936 / CA
Registered
2021-03-27
Relationship
Self
Race
Multiracial
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-26
    Dose 1 — Moderna
  2. 2021-03-27
    Registered in v-safe
  3. 2021-03-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dizziness, Hyperhidrosis, Respiratory tract congestion — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Dizzy, congestion, sweating
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Today there's less intensity
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-29
    Survey response — days 1–6 daily, dose 1
    MedDRA: Adverse reaction — Feeling: Good · Site: Pain · Fever · Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: It's better today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-30
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Good · Site: Pain · Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Today's a good day, manageable.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-31
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Joint pains · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Myalgia, Pre-existing disease — Feeling: Good · Muscle or body aches · Be unable to do your normal daily activities
    Free text: I probably should not include the muscle aches and pains because I do have. Arthritis, and I do have FMS. I'm not having any pains from the shot.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-23
    Dose 2 — Moderna
  10. 2021-09-24
    Survey response — 6 months, dose 1
    MedDRA: Alopecia, Balance disorder, Pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: My equilibrium has been getting steadily worse. My hair is still falling out in clumps. My body aches more than it ever did. But basically I'm healthy and even though I now have to use a walker since I had the virus July 2020 I'm doing okay.
    MedDRA releases: 2024-11 · check-in free text available
  11. 2021-12-10
    Dose 3 — Moderna
  12. 2022-04-23
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  13. 2022-05-20
    Dose 4 — Moderna
  14. 2022-05-30
    Survey response — day 7, dose 4
    MedDRA: Contusion, Headache, Influenza like illness, Mobility decreased, Pain, Pain in extremity, Pre-existing disease, Pyrexia — Feeling: Good · Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Above symptoms are my usual. Vax #4, 5/20/22: after effects moderate 1st 4 days; headache, slight fever, body achs like mod case of flu, arm sore/useless 3 days then sore 2 more, still bruised (31st) but no pain. This vax was the easiest of the 4.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2022-06-12
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-26Moderna
22021-04-23Moderna No
32021-12-10Moderna No
42022-05-20Moderna No

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-27

Systemic reaction (other): Dizzy, congestion, sweating

2021-03-28

Systemic reaction (other): Today there's less intensity

2021-03-29

Systemic reaction (other): It's better today.

2021-03-30

Systemic reaction (other): Today's a good day, manageable.

2021-04-01

Systemic reaction (other): I probably should not include the muscle aches and pains because I do have. Arthritis, and I do have FMS. I'm not having any pains from the shot.

Release 9 — 6 months, dose 1

2021-09-24

Symptoms: My equilibrium has been getting steadily worse. My hair is still falling out in clumps. My body aches more than it ever did. But basically I'm healthy and even though I now have to use a walker since I had the virus July 2020 I'm doing okay.

Release 11 — day 7, dose 4

2022-05-30

Systemic reaction (other): Above symptoms are my usual. Vax #4, 5/20/22: after effects moderate 1st 4 days; headache, slight fever, body achs like mod case of flu, arm sore/useless 3 days then sore 2 more, still bruised (31st) but no pain. This vax was the easiest of the 4.

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
SDAlopecia · · ✓
SDBalance disorder · · ✓
SDPain · · ✓
SDPre-existing disease · · ✓
SROAdverse reaction ✓ ✓ ✓
SROContusion · · ✓
SRODizziness ✓ ✓ ✓
SROHeadache · · ✓
SROHyperhidrosis ✓ ✓ ✓
SROInfluenza like illness · · ✓
SROMobility decreased · · ✓
SROMyalgia ✓ ✓ ✓
SROPain · · ✓
SROPain in extremity · · ✓
SROPre-existing disease ✓ ✓ ✓
SROPyrexia · · ✓
SRORespiratory tract congestion ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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