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64W-26535-85618

2 vaccinations 4 coded responses 15 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
115 / NY
Registered
2021-04-08
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Dose 1 — Moderna
  2. 2021-04-08
    Registered in v-safe
  3. 2021-04-08
    Dose 2 — Moderna
  4. 2021-04-08
    Survey response — day 0, dose 2
    MedDRA: COVID-19, Malaise — Feeling: Good · Site: Pain
    Free text: First Vaccine shot I experienced the Malaise that I had with the Covid illness.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-04-09
    Survey response — days 1–6 daily, dose 2
    MedDRA: Oropharyngeal pain — Feeling: Fair · Site: Pain · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Sore throat
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-04-10
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Pre-existing disease — Feeling: Good
    Free text: As a previous Covid patient The first vaccine shot was the extreme fatigue
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-11
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-04-13
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-04-14
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  10. 2021-04-15
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-04-22
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-29
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-05-06
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-05-13
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Hypersensitivity — Feeling: Good · Be unable to do your normal daily activities
    Free text: An allergy with no nasal symptoms on Tuesday that resulted in extreme fatigue. It was identical to the fatigue I had from the Covid infection in December and the fatigue from the 2 vaccine shots. I only want to sleep after allergies there is no fatig
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-05-20
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-07-08
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-10-07
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-04-08
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

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

Free text

Release 7 — day 0, dose 2

2021-04-08

Systemic reaction (other): First Vaccine shot I experienced the Malaise that I had with the Covid illness.

Release 7 — days 1–6 daily, dose 2

2021-04-09

Systemic reaction (other): Sore throat

2021-04-10

Systemic reaction (other): As a previous Covid patient The first vaccine shot was the extreme fatigue

Release 8 — day 35, dose 2

2021-05-13

Symptoms: An allergy with no nasal symptoms on Tuesday that resulted in extreme fatigue. It was identical to the fatigue I had from the Covid infection in December and the fatigue from the 2 vaccine shots. I only want to sleep after allergies there is no fatig 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

FieldPreferred term2021-092023-042024-11
SDFatigue ✓ ✓ ✓
SDHypersensitivity ✓ ✓ ✓
SROCOVID-19 ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROMalaise ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROPre-existing disease ✓ ✓ ✓

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