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5SK-18762-39130

3 vaccinations 7 coded responses 21 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
945 / CA
Registered
2021-03-08
Relationship
Self
Race
Asian
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-08
    Registered in v-safe
  2. 2021-03-08
    Dose 1 — Moderna
  3. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-03-10
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Sluggishness — Feeling: Fair · Fatigue or tiredness
    Free text: groggy most of day, napped around 5pm
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-16
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-22
    Survey response — day 14, dose 1
    MedDRA: Hypersomnia — Feeling: Fair
    Free text: sleeping late
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  10. 2021-04-05
    Dose 2 — Moderna
  11. 2021-04-05
    Survey response — day 0, dose 2
    MedDRA: Fatigue — Feeling: Fair · Site: Itching · Headache, Fatigue or tiredness
    Free text: Didn't sleep much previous night so may be the tiredness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-06
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: coghing overnight, more than usual for allergies
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-04-07
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  14. 2021-04-09
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  15. 2021-07-05
    Health check-in — 3 months, dose 2
    Feeling: Fair
    Adult check-in
  16. 2021-10-06
    Survey response — 6 months, dose 2
    MedDRA: Nasal pruritus, Sneezing — Feeling: Good
    Free text: Occasional sneezing for about a month or so, itchy inside nose sometimes for a couple of weeks
    MedDRA releases: 2024-11 · check-in free text available
  17. 2021-11-10
    Dose 3 — Moderna
  18. 2021-11-12
    Survey response — days 1–6 daily, dose 3
    MedDRA: Pain in extremity — Feeling: Good · Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore upper arm, all symptoms yesterday
    MedDRA releases: 2024-11 · check-in free text available
  19. 2021-11-14
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · None
    Adult check-in
  20. 2021-11-17
    Health check-in — day 7, dose 3
    Feeling: Good · None
    Adult check-in
  21. 2021-11-24
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  22. 2021-12-15
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  23. 2021-12-22
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  24. 2022-02-10
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  25. 2022-05-13
    Survey response — 6 months, dose 3
    MedDRA: Arthralgia, Headache — Feeling: Fair
    Free text: Not sure if my response yesterday went through, so: slight headache and lesser aches in shoulders for a couple of days after second booster.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-08Moderna
22021-04-05Moderna
32021-11-10Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): groggy most of day, napped around 5pm

Release 6 — day 14, dose 1

2021-03-22

Symptoms: sleeping late

Release 6 — day 0, dose 2

2021-04-05

Systemic reaction (other): Didn't sleep much previous night so may be the tiredness

Release 7 — days 1–6 daily, dose 2

2021-04-06

Systemic reaction (other): coghing overnight, more than usual for allergies

Release 10 — 6 months, dose 2

2021-10-06

Symptoms: Occasional sneezing for about a month or so, itchy inside nose sometimes for a couple of weeks

Release 10 — days 1–6 daily, dose 3

2021-11-12

Systemic reaction (other): Sore upper arm, all symptoms yesterday

Release 11 — 6 months, dose 3

2022-05-13

Symptoms: Not sure if my response yesterday went through, so: slight headache and lesser aches in shoulders for a couple of days after second booster.

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
SDArthralgia · · ✓
SDHeadache · · ✓
SDHypersomnia ✓ ✓ ✓
SDNasal pruritus · · ✓
SDSneezing · · ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROPain in extremity · · ✓
SROSluggishness ✓ ✓ ✓

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

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