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6B4-32234-61010

4 vaccinations 9 coded responses 34 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
038 / NH
Registered
2021-03-04
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Back pain — Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Fatigue or tiredness
    Free text: Achy back
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Muscle or body aches
    Adult check-in
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-09
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Fair · Headache, Muscle or body aches
    Adult check-in
  9. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-03-24
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-31
    Dose 2 — Moderna
  12. 2021-03-31
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Pain · Nausea
    Adult check-in
  13. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Adult check-in
  14. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Body temperature increased — Feeling: Fair · Site: Pain, Redness · Fever · Diarrhea, Abdominal pain
    Free text: After I did this heck yesterday, temp went up to 101.7
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · Headache
    Adult check-in
  17. 2021-04-05
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-06
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Itching · None
    Adult check-in
  19. 2021-04-07
    Survey response — day 7, dose 2
    MedDRA: Headache — Feeling: Good · Site: Itching · Headache
    Free text: headache comes and goes; I rarely get headaches.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-16
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-04-21
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-28
    Survey response — day 28, dose 2
    MedDRA: Dehydration, Dizziness, Dyspnoea, Nausea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Felt dizzy after exercise twice yesterday; am a competitive athlete and Ive never felt dizzy before except at end of ultramarathon. Also nauseated. Could have been dehydrated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-05-05
    Survey response — day 35, dose 2
    MedDRA: Arthralgia, Eye irritation, Headache, Nasopharyngitis, Respiratory tract congestion — Feeling: Poor · Be unable to do your normal daily activities
    Free text: May be a bad cold (haven't had a cold in 2 years) with headache, burning eyes, joint pain, congestion (head and chest), deep cough. No fever.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-05-12
    Survey response — day 42, dose 2
    MedDRA: Bronchitis — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Symptoms of bronchitis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  25. 2021-07-02
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2021-09-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  27. 2021-11-18
    Dose 3 — Moderna
  28. 2022-04-03
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2022-05-08
    Dose 4 — Moderna
  30. 2022-05-14
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Itching · None
    Adult check-in
  31. 2022-05-15
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  32. 2022-05-22
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  33. 2022-05-29
    Survey response — day 21, dose 4
    MedDRA: Abdominal discomfort, SARS-CoV-2 test negative — Feeling: Good
    Free text: 3-day stomach upset, but did Covid hometest and it was negative.
    MedDRA releases: 2024-11 · check-in free text available
  34. 2022-06-05
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  35. 2022-06-12
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  36. 2022-06-19
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  37. 2022-08-07
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  38. 2022-11-09
    Survey response — 6 months, dose 4
    MedDRA: Headache, Lymph node pain, Lymphadenopathy, Nausea, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Vaccination side effects: headache, fever, painful swollen lymph nodes in chest, nausea.
    MedDRA releases: 2024-11 · check-in free text available
  39. 2023-05-09
    Survey response — 12 months, dose 4
    MedDRA: Pancreatitis acute — Feeling: Good · Be unable to do your normal daily activities
    MedDRA releases: 2024-11

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-31Moderna
32021-11-18Moderna No
42022-05-08Moderna No

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): Achy back

Release 6 — days 1–6 daily, dose 2

2021-04-02

Systemic reaction (other): After I did this heck yesterday, temp went up to 101.7

Release 7 — day 7, dose 2

2021-04-07

Systemic reaction (other): headache comes and goes; I rarely get headaches.

Release 8 — day 28, dose 2

2021-04-28

Symptoms: Felt dizzy after exercise twice yesterday; am a competitive athlete and Ive never felt dizzy before except at end of ultramarathon. Also nauseated. Could have been dehydrated.

Release 8 — day 35, dose 2

2021-05-05

Symptoms: May be a bad cold (haven't had a cold in 2 years) with headache, burning eyes, joint pain, congestion (head and chest), deep cough. No fever.

Release 8 — day 42, dose 2

2021-05-12

Symptoms: Symptoms of bronchitis

Release 11 — day 21, dose 4

2022-05-29

Symptoms: 3-day stomach upset, but did Covid hometest and it was negative.

Release 12 — 6 months, dose 4

2022-11-09

Symptoms: Vaccination side effects: headache, fever, painful swollen lymph nodes in chest, nausea.

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
SDAbdominal discomfort · · ✓
SDArthralgia ✓ ✓ ✓
SDBronchitis ✓ ✓ ✓
SDDehydration ✓ ✓ ○
SDDizziness ✓ ✓ ✓
SDDyspnoea ✓ ✓ ○
SDEye irritation ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDLymph node pain · · ✓
SDLymphadenopathy · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDNausea · · ✓
SDPancreatitis acute · · ✓
SDPyrexia · · ✓
SDRespiratory tract congestion ✓ ✓ ✓
SDSARS-CoV-2 test negative · · ✓
SROBack pain ✓ ✓ ✓
SROBody temperature increased ✓ ✓ ✓
SROHeadache ✓ ✓ ✓

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