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5RH-20380-53687

2 vaccinations 2 coded responses 18 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
341 / FL
Registered
2021-03-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-18
    Dose 1 — Moderna
  2. 2021-03-21
    Registered in v-safe
  3. 2021-03-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Lethargy, Nausea, Pain in extremity, Somnolence, Tremor — Feeling: Good · Be unable to work, Be unable to do your normal daily activities
    Free text: On the night I got the shot and all the next day. I was totally lethargic my arm hurt and I felt nauseous and had tremendous chills and tremors. Slept till 7 PM the next night
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-25
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-04-03
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  9. 2021-04-08
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-15
    Dose 2 — Moderna
  11. 2021-04-15
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  12. 2021-04-17
    Survey response — days 1–6 daily, dose 2
    MedDRA: Chills, Malaise — Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: The symptoms I am describing are from yesterday, the day after our vaccination. We were so sick that I could not respond and when I tried to do it today after recovering, it said the opportunity to do so had expired. Would you rate your symptoms chills or severe
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-18
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · None
    Adult check-in
  14. 2021-04-19
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-04-21
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-22
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-29
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-05-06
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-07-15
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-10-14
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  21. 2022-04-15
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-18Moderna
22021-04-15Moderna

Free text

Release 6 — days 1–6 daily, dose 1

2021-03-21

Systemic reaction (other): On the night I got the shot and all the next day. I was totally lethargic my arm hurt and I felt nauseous and had tremendous chills and tremors. Slept till 7 PM the next night

Release 7 — days 1–6 daily, dose 2

2021-04-17

Systemic reaction (other): The symptoms I am describing are from yesterday, the day after our vaccination. We were so sick that I could not respond and when I tried to do it today after recovering, it said the opportunity to do so had expired. Would you rate your symptoms chills or severe

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
SROChills ✓ ✓ ✓
SROLethargy ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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