6DW-26747-24838
5 vaccinations
12 coded responses
51 check-ins
12 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 56-60
- ZIP prefix
- 064 / CT
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-03
Dose 1 — Moderna
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2021-03-04
Registered in v-safe
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2021-03-04
Survey response — days 1–6 daily, dose 1MedDRA: Headache — Feeling: Fair · Site: Pain · Fatigue or tirednessFree text: Headache during nightMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: Is sleeplessness a side effect? Again, not sure if tired from waking up in the middle of the night or vaccine or if the vaccine is creating sleeping difficulties.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-06
Survey response — days 1–6 daily, dose 1MedDRA: Pain in extremity — Feeling: Good · Site: PainFree text: Arm pain much less todayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-07
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: GoodFree text: Still wondering if sleeplessness is a side effect. Up in middle of the night again.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-08
- 2021-03-09
- 2021-03-10
- 2021-03-18
- 2021-03-24
- 2021-03-31
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2021-04-02
Dose 2 — Moderna
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-04
Survey response — days 1–6 daily, dose 2MedDRA: Feeling abnormal, Pyrexia — Feeling: Good · Site: Pain · Fever · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fogginess when trying to work. Note fever was overnight.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-09
- 2021-04-16
- 2021-04-23
- 2021-04-30
- 2021-05-07
- 2021-05-14
- 2021-07-02
- 2021-10-01
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2021-11-05
Dose 3 — Moderna
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2022-04-02
Survey response — 12 months, dose 2MedDRA: Gastrointestinal disorder, Office visit — Feeling: Good · Get care from a doctor or other healthcare professionalFree text: Symptoms: GI symptoms. · Healthcare visit (other): Regular visitMedDRA releases: 2024-11 · check-in free text available
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2022-04-02
Report sent to call center — 12 months, dose 2Get care from a doctor or other healthcare professional1 call case(s)
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2022-04-08
Dose 4 — Moderna
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2022-04-08
Survey response — day 0, dose 4MedDRA: Unevaluable event — Feeling: Good · Site: PainFree text: Just got it a few hours ago.MedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Health check-in — days 1–6 daily, dose 4Feeling: Poor · Site: Pain · Fever · Chills, Headache, 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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2022-04-10
Health check-in — days 1–6 daily, dose 4Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tirednessAdult check-in
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2022-04-11
Survey response — days 1–6 daily, dose 4MedDRA: Pyrexia — Feeling: Good · Fever · Be unable to do your normal daily activitiesFree text: Fever overnightMedDRA releases: 2024-11 · check-in free text available
- 2022-04-12
- 2022-04-13
- 2022-04-13
- 2022-04-14
- 2022-04-15
- 2022-04-22
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
- 2022-07-10
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2022-09-09
Dose 5 — Moderna
- 2022-09-09
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2022-09-10
Survey response — days 1–6 daily, dose 5MedDRA: Insomnia — Feeling: Poor · Site: Pain · 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: Trouble sleepingMedDRA releases: 2024-11 · check-in free text available
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2022-09-11
Survey response — days 1–6 daily, dose 5MedDRA: Pyrexia — Feeling: Fair · Fever · Muscle or body aches, Fatigue or tirednessFree text: Fever was overnight.MedDRA releases: 2024-11 · check-in free text available
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2022-09-12
Survey response — days 1–6 daily, dose 5MedDRA: Cognitive disorder — Feeling: Good · Fatigue or tirednessFree text: Not as sharp cognitively as normal!MedDRA releases: 2024-11 · check-in free text available
- 2022-09-16
- 2022-09-23
- 2022-09-30
- 2022-10-07
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2022-10-14
Survey response — day 35, dose 5MedDRA: Oropharyngeal pain — Feeling: FairFree text: Sore throat today.MedDRA releases: 2024-11 · check-in free text available
- 2022-10-21
- 2022-12-09
- 2023-03-10
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-03 | Moderna | |
| 2 | 2021-04-02 | Moderna | |
| 3 | 2021-11-05 | Moderna | No |
| 4 | 2022-04-08 | Moderna | No |
| 5 | 2022-09-09 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Headache during night
Systemic reaction (other): Is sleeplessness a side effect? Again, not sure if tired from waking up in the middle of the night or vaccine or if the vaccine is creating sleeping difficulties.
Systemic reaction (other): Arm pain much less today
Systemic reaction (other): Still wondering if sleeplessness is a side effect. Up in middle of the night again.
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Fogginess when trying to work. Note fever was overnight.
Release 11 — 12 months, dose 2
Release 11 — day 0, dose 4
Systemic reaction (other): Just got it a few hours ago.
Release 11 — days 1–6 daily, dose 4
Systemic reaction (other): Fever overnight
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Trouble sleeping
Systemic reaction (other): Fever was overnight.
Systemic reaction (other): Not as sharp cognitively as normal!
Release 12 — day 35, dose 5
Symptoms: Sore throat today.
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 |
|---|---|---|---|---|
| HCVO | Office visit | · | · | ✓ |
| SD | Gastrointestinal disorder | · | · | ✓ |
| SD | Oropharyngeal pain | · | · | ✓ |
| SRO | Cognitive disorder | · | · | ✓ |
| SRO | Feeling abnormal | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Unevaluable event | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release