5R4-25614-62391
2 vaccinations
5 coded responses
23 check-ins
5 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 928 / CA
- Registered
- 2021-04-02
- Relationship
- Self
- Race
- Other
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-04-01
Dose 1 — Moderna
-
2021-04-02
Registered in v-safe
- 2021-04-02
-
2021-04-03
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-04-04
- 2021-04-05
- 2021-04-06
-
2021-04-07
Survey response — days 1–6 daily, dose 1MedDRA: Hot flush — Feeling: GoodFree text: Hot flashes now and againMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-08
-
2021-04-15
Survey response — day 14, dose 1MedDRA: Fatigue, Headache, Injection site rash, Injection site swelling, Injection site warmth, Self-medication — Feeling: FairFree text: Mosquito type rash at vaccination site. Slight swelling and warm to the touch. Took Benadryl for three straight days. A few light headaches and fatigue.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-23
Survey response — day 21, dose 1MedDRA: Fatigue, Feeling abnormal — Feeling: GoodFree text: Tired with a little brain fogMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-29
Dose 2 — Moderna
- 2021-04-29
-
2021-04-30
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-05-01
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Muscle or body achesAdult check-in
-
2021-05-02
Survey response — days 1–6 daily, dose 2MedDRA: Self-medication — Feeling: Good · Site: Pain, Redness · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Ive been taking Tylenol for my symptomsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-03
- 2021-05-04
- 2021-05-05
- 2021-05-06
- 2021-05-13
- 2021-05-20
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2021-05-29
Survey response — day 28, dose 2MedDRA: Headache, Self-medication — Feeling: Good · Be unable to do your normal daily activitiesFree text: Just some headaches but not 100% they are due to the shot. Got dental work done and immediately got a headache which doesnt normally happen. Took Tylenol and that helped.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-06-10
- 2021-07-30
- 2021-10-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-04-01 | Moderna | |
| 2 | 2021-04-29 | Moderna |
Free text
Release 7 — days 1–6 daily, dose 1
Systemic reaction (other): Hot flashes now and again
Release 7 — day 14, dose 1
Symptoms: Mosquito type rash at vaccination site. Slight swelling and warm to the touch. Took Benadryl for three straight days. A few light headaches and fatigue.
Release 7 — day 21, dose 1
Symptoms: Tired with a little brain fog
Release 8 — days 1–6 daily, dose 2
Systemic reaction (other): Ive been taking Tylenol for my symptoms
Release 8 — day 28, dose 2
Symptoms: Just some headaches but not 100% they are due to the shot. Got dental work done and immediately got a headache which doesnt normally happen. Took Tylenol and that helped.
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 | Fatigue | ✓ | ✓ | ✓ |
| SD | Feeling abnormal | ✓ | ✓ | ✓ |
| SD | Headache | ✓ | ✓ | ✓ |
| SD | Injection site rash | ✓ | ✓ | ✓ |
| SD | Injection site swelling | ✓ | ✓ | ✓ |
| SD | Injection site warmth | ✓ | ✓ | ✓ |
| SD | Self-medication | ✓ | ✓ | ✓ |
| SRO | Hot flush | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release