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64J-37382-69317

2 vaccinations 7 coded responses 17 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
014 / MA
Registered
2021-03-30
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-29
    Dose 1 — Moderna
  2. 2021-03-30
    Registered in v-safe
  3. 2021-04-06
    Survey response — day 7, dose 1
    MedDRA: Tinnitus — Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness
    Free text: Ringing in ears
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-04-12
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Rash, Rash erythematous, Rash papular — Feeling: Good
    Free text: Rash on arm got redder, more raised, larger in area and itchier. Im still tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-04-26
    Dose 2 — Moderna
  7. 2021-04-28
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Adult check-in
  8. 2021-04-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  9. 2021-04-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain, Redness, Swelling, Itching · Headache, Fatigue or tiredness, Abdominal pain
    Adult check-in
  10. 2021-05-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Redness, Swelling, Itching · Headache, Joint pains, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  11. 2021-05-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Abdominal pain upper — Feeling: Fair · Site: Itching · Fever · Headache, Diarrhea
    Free text: Stomach ache
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-03
    Survey response — day 7, dose 2
    MedDRA: Unevaluable event — Feeling: Good · Site: Itching · Headache, Fatigue or tiredness
    Free text: Low temperature 93.3°
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-05-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-19
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-05-25
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-05-31
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-06-07
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  18. 2021-07-28
    Survey response — 3 months, dose 2
    MedDRA: Cough, Fatigue, Rhinorrhoea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Cough, runny nose, tiredness
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  19. 2021-10-25
    Survey response — 6 months, dose 2
    MedDRA: Pain in extremity, Peripheral swelling, Self-medication — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had severe swelling and pain in my feet and lower legs. After Advil and elevating my legs only left calf remained swollen and sore for two more days.
    MedDRA releases: 2024-11 · check-in free text available
  20. 2022-04-27
    Survey response — 12 months, dose 2
    MedDRA: Arthralgia, Headache, Mobility decreased, Pain in extremity, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Got booster and was bedridden for two days with fever and joint pains and headache. Headache continued for two more days. Arm was sore for five days.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-29Moderna
22021-04-26Moderna

Free text

Release 7 — day 7, dose 1

2021-04-06

Systemic reaction (other): Ringing in ears

Release 7 — day 14, dose 1

2021-04-12

Symptoms: Rash on arm got redder, more raised, larger in area and itchier. Im still tired.

Release 8 — days 1–6 daily, dose 2

2021-05-02

Systemic reaction (other): Stomach ache

Release 8 — day 7, dose 2

2021-05-03

Systemic reaction (other): Low temperature 93.3°

Release 9 — 3 months, dose 2

2021-07-28

Symptoms: Cough, runny nose, tiredness

Release 10 — 6 months, dose 2

2021-10-25

Symptoms: Had severe swelling and pain in my feet and lower legs. After Advil and elevating my legs only left calf remained swollen and sore for two more days.

Release 11 — 12 months, dose 2

2022-04-27

Symptoms: Got booster and was bedridden for two days with fever and joint pains and headache. Headache continued for two more days. Arm was sore for five days.

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 · · ✓
SDCough ✓ · ✓
SDFatigue ✓ ✓ ✓
SDHeadache · · ✓
SDMobility decreased · · ✓
SDPain in extremity · · ✓
SDPeripheral swelling · · ✓
SDPyrexia · · ✓
SDRash ✓ ✓ ✓
SDRash erythematous ✓ ✓ ✓
SDRash papular ✓ ✓ ✓
SDRhinorrhoea ✓ · ✓
SDSelf-medication · · ✓
SROAbdominal pain upper ✓ ✓ ✓
SROTinnitus ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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