68Q-16810-83367
4 vaccinations
4 coded responses
32 check-ins
4 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 46-50
- ZIP prefix
- 038 / NH
- Registered
- 2021-02-12
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-02-12
Registered in v-safe
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2021-02-12
Dose 1 — Moderna
- 2021-02-12
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2021-02-13
Health check-in — days 1–6 daily, dose 1Feeling: Good · Site: Pain · Fatigue or tiredness, DiarrheaAdult check-in
- 2021-02-14
- 2021-02-15
- 2021-02-16
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2021-03-12
Dose 2 — Moderna
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2021-03-13
Survey response — days 1–6 daily, dose 2MedDRA: Pain in extremity — Feeling: Poor · Site: Pain, Itching · Fever · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work, Be unable to do your normal daily activitiesFree text: Severe leg pain, from hips all the way down. Front and back. Getting worse, not betterMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-14
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Chills, Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-03-15
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
-
2021-03-16
Health check-in — days 1–6 daily, dose 2Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
- 2021-03-17
- 2021-06-13
- 2021-09-10
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2021-11-20
Dose 3 — ModernaCo-administered: Shingles
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2021-11-21
Survey response — days 1–6 daily, dose 3MedDRA: Pain, Pain in extremity — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Shooting pains in my legs arms and handsMedDRA releases: 2024-11 · check-in free text available
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2021-11-22
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
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2021-11-23
Health check-in — days 1–6 daily, dose 3Feeling: Fair · Site: Pain · Muscle or body aches, Fatigue or tirednessAdult check-in
- 2021-11-24
- 2021-11-25
- 2021-11-27
- 2021-12-06
- 2021-12-11
- 2021-12-20
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2021-12-25
Survey response — day 35, dose 3MedDRA: Body temperature increased, Dental operation, Fatigue, Malaise, Odynophagia, Oropharyngeal pain — Feeling: FairFree text: Feel somewhat ill last night and today slight fever of 99. Very, very fatigued. Throat sore to swallow last night and upon waking today but since has eased by 2pm. Had a dental procedure 12.22 which may be the cause.MedDRA releases: 2024-11 · check-in free text available
- 2022-01-01
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2022-02-21
Survey response — 3 months, dose 3MedDRA: Disturbance in attention, Fatigue, Memory impairment, Sinus pain — Feeling: FairFree text: Fatigue, inability to concentrate, memory issues, sinus pain last 3 daysMedDRA releases: 2024-11 · check-in free text available
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2022-04-20
Dose 4 — Moderna
- 2022-04-20
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2022-04-21
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to work or attend school, Be unable to do your normal daily activitiesAdult check-in
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2022-04-23
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-04-24
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain · Fatigue or tirednessAdult check-in
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2022-04-25
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Pain, Itching · Fatigue or tirednessAdult check-in
-
2022-04-26
Health check-in — days 1–6 daily, dose 4Feeling: Good · Site: Itching · Fatigue or tirednessAdult check-in
- 2022-05-06
- 2022-05-13
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-02-12 | Moderna | |
| 2 | 2021-03-12 | Moderna | |
| 3 | 2021-11-20 | Moderna | Shingles |
| 4 | 2022-04-20 | Moderna | No |
Free text
Release 5 — days 1–6 daily, dose 2
Systemic reaction (other): Severe leg pain, from hips all the way down. Front and back. Getting worse, not better
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): Shooting pains in my legs arms and hands
Release 10 — day 35, dose 3
Symptoms: Feel somewhat ill last night and today slight fever of 99. Very, very fatigued. Throat sore to swallow last night and upon waking today but since has eased by 2pm. Had a dental procedure 12.22 which may be the cause.
Release 11 — 3 months, dose 3
Symptoms: Fatigue, inability to concentrate, memory issues, sinus pain last 3 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
| Field | Preferred term | 2021-09 | 2023-04 | 2024-11 |
|---|---|---|---|---|
| SD | Body temperature increased | · | · | ✓ |
| SD | Dental operation | · | · | ✓ |
| SD | Disturbance in attention | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Malaise | · | · | ✓ |
| SD | Memory impairment | · | · | ✓ |
| SD | Odynophagia | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SD | Sinus pain | · | · | ✓ |
| SRO | Pain | · | · | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release