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5Y5-33140-71115

2 vaccinations 6 coded responses 21 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
152 / PA
Registered
2021-03-13
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-03-13
    Registered in v-safe
  3. 2021-03-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Fatigue or tiredness
    Adult check-in
  4. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Pain in extremity, Self-medication — Feeling: Good · Site: Itching · Chills
    Free text: Forgot to report. On day after shot. My arm hurt so much , I took a pain reliever. I am a chef. I put in a full day of work. Thought perhaps lifting trays could have effected the shot area.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Fatigue or tiredness
    Adult check-in
  6. 2021-03-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Feeling abnormal — Feeling: Fair · Fatigue or tiredness
    Free text: Feel kind of foggy today. Not quite moderate, but more than mild. Had to work today.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-25
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-04-04
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-04-08
    Dose 2 — Moderna
  12. 2021-04-08
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  13. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Pre-existing disease, Sinus disorder — Feeling: Poor · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: I have asthma and my sinuses seem to be bothering me
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-04-10
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea
    Adult check-in
  16. 2021-04-12
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dyspnoea — Feeling: Fair · Fatigue or tiredness
    Free text: Feeling winded after climbing stairs
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-13
    Survey response — days 1–6 daily, dose 2
    MedDRA: Cough — Feeling: Fair · Headache, Muscle or body aches
    Free text: Cough at times
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · Headache, Fatigue or tiredness
    Adult check-in
  19. 2021-04-24
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-05-01
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Chronic headaches. Had them after both shots. I still go about my day, however, quite noticeable in the day and overnight
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-05-15
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-22
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-10-10
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna
22021-04-08Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-14

Systemic reaction (other): Forgot to report. On day after shot. My arm hurt so much , I took a pain reliever. I am a chef. I put in a full day of work. Thought perhaps lifting trays could have effected the shot area.

2021-03-17

Systemic reaction (other): Feel kind of foggy today. Not quite moderate, but more than mild. Had to work today.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): I have asthma and my sinuses seem to be bothering me

2021-04-12

Systemic reaction (other): Feeling winded after climbing stairs

2021-04-13

Systemic reaction (other): Cough at times

Release 8 — day 21, dose 2

2021-05-01

Symptoms: Chronic headaches. Had them after both shots. I still go about my day, however, quite noticeable in the day and overnight

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
SDHeadache ✓ ✓ ✓
SROCough ✓ ✓ ✓
SRODyspnoea ✓ ✓ ✓
SROFeeling abnormal ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓
SROSelf-medication ✓ ✓ ✓
SROSinus disorder ✓ ✓ ✓

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