62W-17586-96573
2 vaccinations
4 coded responses
26 check-ins
4 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 530 / WI
- Registered
- 2021-03-02
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-02
Registered in v-safe
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2021-03-02
Dose 1 — Moderna
- 2021-03-02
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2021-03-03
Health check-in — days 1–6 daily, dose 1Feeling: Poor · Site: Pain · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-04
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Site: Pain · Headache, Fatigue or tirednessAdult check-in
- 2021-03-05
-
2021-03-06
Health check-in — days 1–6 daily, dose 1Feeling: Good · Headache, Muscle or body achesAdult check-in
-
2021-03-07
Health check-in — days 1–6 daily, dose 1Feeling: Fair · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-08
Survey response — days 1–6 daily, dose 1MedDRA: Lymph node pain — Feeling: Good · Muscle or body achesFree text: Some tenderness around lymph nodes near my armpits today.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-09
- 2021-03-16
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2021-03-23
Survey response — day 21, dose 1MedDRA: Abdominal discomfort, Chills, Decreased appetite, Diarrhoea, Hot flush — Feeling: FairFree text: Some diarrhea two days ago. Today, chills and extreme hot flashes. They could have been Menopause but were so intense. My stomach didnt feel great, and I had less appetite. Have also been waking up at a.m. the past two days. Related? Shrug.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Dose 2 — Moderna
- 2021-03-30
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2021-03-31
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
- 2021-04-01
- 2021-04-02
- 2021-04-03
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-13
- 2021-04-20
- 2021-04-27
- 2021-05-04
- 2021-05-11
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2021-06-29
Survey response — 3 months, dose 2MedDRA: Depression, Fatigue, Psychiatric symptom — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: Depression! I was gloomy, unmotivated, angry, and had trouble gettings done. My disappointment when I didn't get a part I wanted in a local play was much bigger than normal. I felt extremely lonely and even had slightly suicidal thoughts one day.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-06-29
Report sent to call center — 3 months, dose 2Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional1 call case(s)
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2021-07-06
Call successfulNot applicable (accidental reporting or does not believe symptoms are related to vaccine)
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2021-10-01
Survey response — 6 months, dose 2MedDRA: Nasopharyngitis, Productive cough, Respiratory tract congestion, Secretion discharge, Sneezing — Feeling: GoodFree text: I have a cold. Congestion/mucus. Occassionally I sneeze or cough to loosen mucus, then blow it out. No other symptoms at all.MedDRA releases: 2024-11 · check-in free text available
- 2022-03-30
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-02 | Moderna | |
| 2 | 2021-03-30 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Some tenderness around lymph nodes near my armpits today.
Release 6 — day 21, dose 1
Symptoms: Some diarrhea two days ago. Today, chills and extreme hot flashes. They could have been Menopause but were so intense. My stomach didnt feel great, and I had less appetite. Have also been waking up at a.m. the past two days. Related? Shrug.
Release 9 — 3 months, dose 2
Symptoms: Depression! I was gloomy, unmotivated, angry, and had trouble gettings done. My disappointment when I didn't get a part I wanted in a local play was much bigger than normal. I felt extremely lonely and even had slightly suicidal thoughts one day.
Release 9 — 6 months, dose 2
Symptoms: I have a cold. Congestion/mucus. Occassionally I sneeze or cough to loosen mucus, then blow it out. No other symptoms at all.
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 | Abdominal discomfort | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Decreased appetite | ✓ | ✓ | ✓ |
| SD | Depression | ✓ | ✓ | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Hot flush | ✓ | ✓ | ✓ |
| SD | Nasopharyngitis | · | · | ✓ |
| SD | Productive cough | · | · | ✓ |
| SD | Psychiatric symptom | ✓ | ✓ | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Secretion discharge | · | · | ✓ |
| SD | Sneezing | · | · | ✓ |
| SRO | Lymph node pain | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release