62U-29822-16319
5 vaccinations
10 coded responses
62 check-ins
10 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 017 / MA
- Registered
- 2021-03-05
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-05
Registered in v-safe
-
2021-03-05
Dose 1 — Moderna
- 2021-03-05
-
2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Injection site pain, Pain, Sleep disorder — Feeling: Good · Site: Pain · Muscle or body achesFree text: Fri Day 1 (shot 2:05p); 9p - shot site now severe pain during ROM; side sleeper: bothered; finally got to sleep 4am Sat. Sat: ROM now works but still moderately painful.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-07
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-11
- 2021-03-12
- 2021-03-19
- 2021-03-26
-
2021-04-02
Dose 2 — Moderna
- 2021-04-02
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Body temperature increased — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Temp up 2° overnite to 99.3°F from usual norm 97.x°FMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
-
2021-11-16
Dose 3 — Moderna
-
2021-11-17
Survey response — days 1–6 daily, dose 3MedDRA: Body temperature increased, Chills, Fatigue, Headache, Injection site pain, Injection site swelling, Poor quality sleep, Pyrexia — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: SYMPTOMS: 11/16/21: Fitfully slept the night. 11/17/21 @ 12Noon: Low-grade fever: 99.9°F. ,(Usu: 97.x°F) Injection site: sore, swollen. very tired, chilled. 11/17/21 @ 5p: 100.9°F, headachy, chills gone.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-18
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Headache, Pollakiuria, Pyrexia, Self-medication — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: 11/17/21 cont: 5p: 100.9°F, very tired, headachy. 7p: 100.5°F, very tired, headachy. 2 Tylenol 325 ea. Peed a lot all day. Slept thru nite. 11/18/21: Woke up fine.MedDRA releases: 2024-11 · check-in free text available
-
2021-11-19
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Muscle or body achesFree text: NOTE: I selected bogus answer so I could add data to text box. 11/17,18,&19 I cked "aches" box: =false. Cking "None," then adding text field data gets red error msg. (ONLY field you provide to add data that doesn't fit elsewhere. Poor design!)MedDRA releases: 2024-11 · check-in free text available
-
2021-11-20
Survey response — days 1–6 daily, dose 3MedDRA: Unevaluable event — Feeling: Good · Muscle or body achesFree text: Can't tell you more; this text box inadequate.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-21
-
2021-11-22
Survey response — days 1–6 daily, dose 3MedDRA: Middle insomnia, Restless legs syndrome — Feeling: Fair · Site: Itching · Fatigue or tirednessFree text: Legs restless when trying to fall asleep. Waking up more than usual.MedDRA releases: 2024-11 · check-in free text available
- 2021-11-23
- 2021-11-30
- 2021-12-07
- 2021-12-14
- 2021-12-21
- 2021-12-28
- 2022-02-15
-
2022-04-21
Dose 4 — Moderna
- 2022-04-21
-
2022-04-22
Survey response — days 1–6 daily, dose 4MedDRA: Dyspepsia, Pain in extremity — Feeling: Fair · Site: Pain, Swelling · Fever · Muscle or body aches, Fatigue or tirednessFree text: Heartburn, legs achy at night.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-23
- 2022-04-24
- 2022-04-25
-
2022-04-26
Survey response — days 1–6 daily, dose 4MedDRA: Pre-existing disease, Vestibular migraine — Feeling: Fair · Fatigue or tirednessFree text: Woke up off-balance (not dizzy); predates all covid vaccine shots; current diagnosis: vestibular migraine recurs wks., mos., ea. episode lasting hrs. to several days.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-27
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-05-19
- 2022-05-26
- 2022-06-02
- 2022-07-21
-
2022-09-09
Dose 5 — ModernaCo-administered: Flu
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2022-09-10
Health check-in — days 1–6 daily, dose 5Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2022-09-11
Survey response — days 1–6 daily, dose 5MedDRA: Hypersomnia — Feeling: Good · Fatigue or tirednessFree text: 1st 2 nights: slept more than usual.MedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
- 2022-10-14
- 2022-10-21
- 2022-12-09
- 2023-03-11
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-05 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-16 | Moderna | No |
| 4 | 2022-04-21 | Moderna | No |
| 5 | 2022-09-09 | Moderna | Flu |
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Fri Day 1 (shot 2:05p); 9p - shot site now severe pain during ROM; side sleeper: bothered; finally got to sleep 4am Sat. Sat: ROM now works but still moderately painful.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Temp up 2° overnite to 99.3°F from usual norm 97.x°F
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): SYMPTOMS: 11/16/21: Fitfully slept the night. 11/17/21 @ 12Noon: Low-grade fever: 99.9°F. ,(Usu: 97.x°F) Injection site: sore, swollen. very tired, chilled. 11/17/21 @ 5p: 100.9°F, headachy, chills gone.
Systemic reaction (other): 11/17/21 cont: 5p: 100.9°F, very tired, headachy. 7p: 100.5°F, very tired, headachy. 2 Tylenol 325 ea. Peed a lot all day. Slept thru nite. 11/18/21: Woke up fine.
Systemic reaction (other): NOTE: I selected bogus answer so I could add data to text box. 11/17,18,&19 I cked "aches" box: =false. Cking "None," then adding text field data gets red error msg. (ONLY field you provide to add data that doesn't fit elsewhere. Poor design!)
Systemic reaction (other): Can't tell you more; this text box inadequate.
Systemic reaction (other): Legs restless when trying to fall asleep. Waking up more than usual.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Heartburn, legs achy at night.
Systemic reaction (other): Woke up off-balance (not dizzy); predates all covid vaccine shots; current diagnosis: vestibular migraine recurs wks., mos., ea. episode lasting hrs. to several days.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): 1st 2 nights: slept more than usual.
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 |
|---|---|---|---|---|
| SRO | Body temperature increased | ✓ | ✓ | ✓ |
| SRO | Chills | · | · | ✓ |
| SRO | Dyspepsia | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Headache | · | · | ✓ |
| SRO | Hypersomnia | · | · | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Injection site swelling | · | · | ✓ |
| SRO | Middle insomnia | · | · | ✓ |
| SRO | Pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | · | · | ✓ |
| SRO | Pollakiuria | · | · | ✓ |
| SRO | Poor quality sleep | · | · | ✓ |
| SRO | Pre-existing disease | · | · | ✓ |
| SRO | Pyrexia | · | · | ✓ |
| SRO | Restless legs syndrome | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Sleep disorder | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
| SRO | Vestibular migraine | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release