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6G9-86814-40707

3 vaccinations 4 coded responses 11 check-ins 4 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
044 / ME
Registered
2021-02-27
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-26
    Dose 1 — Moderna
  2. 2021-02-27
    Registered in v-safe
  3. 2021-02-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-02-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Chills, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  6. 2021-03-14
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-03-19
    Survey response — day 21, dose 1
    MedDRA: Chills, Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fatigue On/off chills
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-26
    Survey response — day 28, dose 1
    MedDRA: Feeling cold — Feeling: Fair · Be unable to do your normal daily activities
    Free text: On and off episodes of being very cold over whole body,
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-29
    Dose 2 — Moderna
  10. 2021-11-24
    Dose 3 — Moderna
    Co-administered: Flu
  11. 2021-12-03
    Survey response — day 7, dose 3
    MedDRA: Injection site pain — Feeling: Fair · Site: Pain · Muscle or body aches · Be unable to do your normal daily activities
    Free text: Was Woken up this morning with Left upper arm very sore at injection site - pain was deep and not at skin surface of injection site administrator 10 days a ago.
    MedDRA releases: 2024-11 · check-in free text available
  12. 2021-12-10
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  13. 2021-12-15
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  14. 2021-12-24
    Survey response — day 28, dose 3
    MedDRA: Fatigue, Injection site pain, Pain — Feeling: Good
    Free text: Fatigue increasing. Left upper arm injection site -experiencing deep dull achey muscle pain from time to time. Comes on unexpectedly. I'm retired so missed work time, but favor left arm if doing home projects at the time of onset.
    MedDRA releases: 2024-11 · check-in free text available
  15. 2021-12-29
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-26Moderna
22021-03-29Moderna No
32021-11-24Moderna Flu

Free text

Release 5 — day 21, dose 1

2021-03-19

Symptoms: Fatigue On/off chills

Release 6 — day 28, dose 1

2021-03-26

Symptoms: On and off episodes of being very cold over whole body,

Release 10 — day 7, dose 3

2021-12-03

Systemic reaction (other): Was Woken up this morning with Left upper arm very sore at injection site - pain was deep and not at skin surface of injection site administrator 10 days a ago.

Release 10 — day 28, dose 3

2021-12-24

Symptoms: Fatigue increasing. Left upper arm injection site -experiencing deep dull achey muscle pain from time to time. Comes on unexpectedly. I'm retired so missed work time, but favor left arm if doing home projects at the time of onset.

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
SDChills ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDFeeling cold ✓ ✓ ✓
SDInjection site pain · · ✓
SDPain · · ✓
SROInjection site pain · · ✓

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