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5QZ-10543-52884

3 vaccinations 6 coded responses 36 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
41-45
ZIP prefix
800 / CO
Registered
2020-12-25
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-24
    Dose 1 — Moderna
  2. 2020-12-25
    Registered in v-safe
  3. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  4. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  5. 2020-12-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  6. 2020-12-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Dyspepsia, Nausea — Feeling: Fair · Nausea
    Free text: Has the box always been here? I'm not sure if I ate something the day after I took the vaccine that is causing very mild nausea. But I almost never get nauseous, so it makes me think it's the vaccine. It is very minimal and feels in between nausea and indigestion.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Nausea
    Adult check-in
  8. 2020-12-31
    Survey response — day 7, dose 1
    MedDRA: Tinnitus — Feeling: Good
    Free text: Tinnitus increased slightly over the past three days
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-09
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-01-14
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-21
    Dose 2 — Moderna
  12. 2021-01-21
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-01-22
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pyrexia, Tinnitus — Feeling: Fair · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Symptoms of having a fever. Increased tinnitus.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-01-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  17. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-01-27
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-01-28
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  20. 2021-02-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-11
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-02-18
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-25
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-06
    Survey response — day 42, dose 2
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Very tired. Most likely unrelated to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-04-22
    Survey response — 3 months, dose 2
    MedDRA: Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Very tired most of the time. But this could be work stress, mattress issues, sleep hygiene, etc. It would be very hard to say that my fatigue is due to the vaccine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-07-22
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-17
    Dose 3 — Moderna
  28. 2021-11-18
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  29. 2021-11-19
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  30. 2021-11-20
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  31. 2021-11-21
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-22
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  33. 2021-11-23
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  34. 2021-11-24
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  35. 2021-12-04
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  36. 2021-12-08
    Health check-in — day 21, dose 3
    Feeling: Fair
    Adult check-in
  37. 2021-12-15
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-12-23
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-29
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  40. 2022-02-16
    Survey response — 3 months, dose 3
    MedDRA: Cough, Exposure to SARS-CoV-2, Fatigue, Nasopharyngitis, Oropharyngeal pain, Rhinorrhoea, SARS-CoV-2 test negative, Sneezing — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Cold symptoms: fatigue and sore throat x2 days, runny nose and sneezing x2-3 days, dry cough x 2 weeks. Rapid PCR day 2 and 4 negative. I did have a Covid exposure but my symptoms started the same day so I think my test was a true neg.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-24Moderna
22021-01-21Moderna
32021-11-17Moderna No

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-28

Systemic reaction (other): Has the box always been here? I'm not sure if I ate something the day after I took the vaccine that is causing very mild nausea. But I almost never get nauseous, so it makes me think it's the vaccine. It is very minimal and feels in between nausea and indigestion.

Release 1 — day 7, dose 1

2020-12-31

Systemic reaction (other): Tinnitus increased slightly over the past three days

Release 2 — days 1–6 daily, dose 2

2021-01-22

Systemic reaction (other): Symptoms of having a fever. Increased tinnitus.

Release 5 — day 42, dose 2

2021-03-06

Symptoms: Very tired. Most likely unrelated to the vaccine.

Release 7 — 3 months, dose 2

2021-04-22

Symptoms: Very tired most of the time. But this could be work stress, mattress issues, sleep hygiene, etc. It would be very hard to say that my fatigue is due to the vaccine.

Release 11 — 3 months, dose 3

2022-02-16

Symptoms: Cold symptoms: fatigue and sore throat x2 days, runny nose and sneezing x2-3 days, dry cough x 2 weeks. Rapid PCR day 2 and 4 negative. I did have a Covid exposure but my symptoms started the same day so I think my test was a true neg.

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
SDCough · · ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue ✓ ✓ ✓
SDNasopharyngitis · · ✓
SDOropharyngeal pain · · ✓
SDRhinorrhoea · · ✓
SDSARS-CoV-2 test negative · · ✓
SDSneezing · · ✓
SRODyspepsia ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓

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