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6BX-10059-21690

2 vaccinations 7 coded responses 19 check-ins 7 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
446 / OH
Registered
2021-03-19
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-19
    Registered in v-safe
  2. 2021-03-19
    Dose 1 — Moderna
  3. 2021-03-19
    Health check-in — day 0, dose 1
    Feeling: Fair · None
    Adult check-in
  4. 2021-03-20
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fever · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  5. 2021-03-21
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  6. 2021-03-22
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  7. 2021-03-23
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness
    Adult check-in
  8. 2021-03-24
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  9. 2021-03-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-26
    Health check-in — day 7, dose 1
    Feeling: Good · Fatigue or tiredness
    Adult check-in
  11. 2021-04-02
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-04-09
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-16
    Dose 2 — Moderna
  14. 2021-04-23
    Health check-in — day 7, dose 2
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  15. 2021-04-30
    Survey response — day 14, dose 2
    MedDRA: Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Had a fib
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-05-07
    Survey response — day 21, dose 2
    MedDRA: Nasal congestion, Rhinorrhoea — Feeling: Fair
    Free text: Runny and stuffy nose
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-05-14
    Survey response — day 28, dose 2
    MedDRA: Back pain, Neck pain, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activities
    Free text: Pain in back and neck maybe from arthritis
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-21
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  19. 2021-05-28
    Survey response — day 42, dose 2
    MedDRA: Back pain, Neck pain, Rhinalgia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Neck pain,back pain, sores in left nostril
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-07-16
    Survey response — 3 months, dose 2
    MedDRA: Back pain, Fatigue — Feeling: Good · Be unable to do your normal daily activities
    Free text: Pain in back. Tired.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-10-15
    Survey response — 6 months, dose 2
    MedDRA: Arthralgia, Dizziness, Eye infection, Malaise, Pain in extremity — Feeling: Poor · Be unable to do your normal daily activities
    Free text: Pain in left hip and leg if I'm up for a few minutes. Also some dizziness and just feeling not well. Had eye infection.
    MedDRA releases: 2024-11 · check-in free text available
  22. 2022-04-18
    Survey response — 12 months, dose 2
    MedDRA: Asthenia, Cough, Fatigue, Malaise, Rhinorrhoea — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Runny nose, much coughing that often does not clear my throat, tiredness, weakness and just not feeling well. This has c ontinued for 3 weeks. Husbsnd, son and I have similar symptoms. All 3 of us had 3 moderna.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-19Moderna
22021-04-16Moderna

Free text

Release 8 — day 14, dose 2

2021-04-30

Symptoms: Had a fib

Release 8 — day 21, dose 2

2021-05-07

Symptoms: Runny and stuffy nose

Release 8 — day 28, dose 2

2021-05-14

Symptoms: Pain in back and neck maybe from arthritis

Release 8 — day 42, dose 2

2021-05-28

Symptoms: Neck pain,back pain, sores in left nostril

Release 9 — 3 months, dose 2

2021-07-16

Symptoms: Pain in back. Tired.

Release 10 — 6 months, dose 2

2021-10-15

Symptoms: Pain in left hip and leg if I'm up for a few minutes. Also some dizziness and just feeling not well. Had eye infection.

Release 11 — 12 months, dose 2

2022-04-18

Symptoms: Runny nose, much coughing that often does not clear my throat, tiredness, weakness and just not feeling well. This has c ontinued for 3 weeks. Husbsnd, son and I have similar symptoms. All 3 of us had 3 moderna.

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 · · ✓
SDAsthenia · · ✓
SDBack pain ✓ ✓ ✓
SDCough · · ✓
SDDizziness · · ✓
SDEye infection · · ✓
SDFatigue ✓ · ✓
SDMalaise · · ✓
SDNasal congestion ✓ ✓ ✓
SDNeck pain ✓ ✓ ✓
SDPain in extremity · · ✓
SDPre-existing disease ✓ ✓ ✓
SDRhinalgia ✓ ✓ ✓
SDRhinorrhoea ✓ ✓ ✓

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