64Q-63329-45371
4 vaccinations
4 coded responses
36 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 841 / UT
- Registered
- 2021-02-15
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-15
Registered in v-safe
-
2021-02-15
Dose 1 — Moderna
- 2021-02-15
- 2021-02-16
- 2021-02-17
- 2021-02-18
- 2021-02-19
- 2021-02-21
- 2021-02-22
-
2021-03-01
Survey response — day 14, dose 1MedDRA: Feeling hot, Induration, Pallor, Rash, Skin discolouration, Tenderness — Feeling: GoodFree text: New pink oval spot with some rash spots above it today on left deltoid (same arm as 1st Moderna dose). About 2.5 in tall, 2 in wide. Slightly tender and warm, firmer but not hard. Blanches with pressure. Edges flat, no itching.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
-
2021-03-15
Dose 2 — Moderna
- 2021-03-15
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Abdominal pain · Be unable to do your normal daily activitiesAdult check-in
-
2021-03-17
Survey response — days 1–6 daily, dose 2MedDRA: Dizziness, Heart rate increased, Hyperhidrosis, Pyrexia — Feeling: Good · Site: Pain, Swelling · Fatigue or tirednessFree text: 1)Dizzy today, especially when lean forward. 2) realized from my fitbit that yesterday (3/16) I had high heartrate starting 3:18 AM through 7:30 pm. I spent most of the day lounging in bed. The early AM times were when i was asleep. Varied 100-130 ( mostly 100-115) and totalled 183 min of the 16 hours. 3) although I did not know of any fever, i woke about 3:15 AM with my pj top wet with sweat. Never happens to me except end of illness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-19
Survey response — days 1–6 daily, dose 2MedDRA: Apathy, Asthenia, Energy increased — Feeling: GoodFree text: Completely back to baseline- energy and motivation!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-20
- 2021-03-21
- 2021-03-24
- 2021-03-29
- 2021-04-05
- 2021-04-12
- 2021-04-19
- 2021-04-26
- 2021-06-14
- 2021-09-13
-
2021-10-22
Dose 3 — Moderna
-
2021-10-26
Health check-in — days 1–6 daily, dose 3Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-10-27
- 2021-10-28
- 2021-10-29
-
2021-11-05
Survey response — day 14, dose 3MedDRA: Fatigue, Reaction to previous exposure to any vaccine, Somnolence — Feeling: Good · Be unable to do your normal daily activitiesFree text: I had 3 days of fatigue, sleeping during day, exhausted after doing simple tasks like folding clean sheets. Occurred 9,10,and 11th day after my moderna booster. This was exactly like day 2,3,and 4 after my 2nd Moderna vax. No other symt. Then 100%MedDRA releases: 2024-11 · check-in free text available
- 2021-11-14
- 2021-11-29
- 2021-12-03
- 2022-01-21
-
2022-04-07
Dose 4 — Moderna
- 2022-05-15
- 2022-05-21
- 2023-04-07
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-15 | Moderna | |
| 2 | 2021-03-15 | Moderna | |
| 3 | 2021-10-22 | Moderna | No |
| 4 | 2022-04-07 | Moderna | No |
Free text
Release 4 — day 14, dose 1
Symptoms: New pink oval spot with some rash spots above it today on left deltoid (same arm as 1st Moderna dose). About 2.5 in tall, 2 in wide. Slightly tender and warm, firmer but not hard. Blanches with pressure. Edges flat, no itching.
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): 1)Dizzy today, especially when lean forward. 2) realized from my fitbit that yesterday (3/16) I had high heartrate starting 3:18 AM through 7:30 pm. I spent most of the day lounging in bed. The early AM times were when i was asleep. Varied 100-130 ( mostly 100-115) and totalled 183 min of the 16 hours. 3) although I did not know of any fever, i woke about 3:15 AM with my pj top wet with sweat. Never happens to me except end of illness.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Completely back to baseline- energy and motivation!
Release 10 — day 14, dose 3
Symptoms: I had 3 days of fatigue, sleeping during day, exhausted after doing simple tasks like folding clean sheets. Occurred 9,10,and 11th day after my moderna booster. This was exactly like day 2,3,and 4 after my 2nd Moderna vax. No other symt. Then 100% cut off by CDC
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 | Fatigue | · | · | ✓ |
| SD | Feeling hot | ✓ | ✓ | ✓ |
| SD | Induration | ✓ | ✓ | ✓ |
| SD | Pallor | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SD | Reaction to previous exposure to any vaccine | · | · | ✓ |
| SD | Skin discolouration | ✓ | ✓ | ✓ |
| SD | Somnolence | · | · | ✓ |
| SD | Tenderness | ✓ | ✓ | ✓ |
| SRO | Apathy | · | · | ✓ |
| SRO | Asthenia | · | · | ✓ |
| SRO | Dizziness | ✓ | ✓ | ✓ |
| SRO | Energy increased | ✓ | ✓ | ○ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Hyperhidrosis | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release