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6GL-15238-25136

1 vaccination 2 coded responses 9 check-ins 2 free-text entries 0 call cases
Sex
Female
Age at first dose
56-60
ZIP prefix
034 / NH
Registered
2021-02-12
Relationship
Self
Race
N/A
Ethnicity
N/A

Timeline

  1. 2021-02-10
    Dose 1 — Moderna
  2. 2021-02-12
    Registered in v-safe
  3. 2021-02-12
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue, Headache, Immediate post-injection reaction, Nausea, Paraesthesia — Feeling: Good · Site: Pain · Headache, Fatigue or tiredness, Nausea
    Free text: * I am now 2 days out from the vaccine. The day of the vaccine, My face immediately became tingly and this lasted for approximately 2 hours. The day after the vaccine I had a headache, nausea, and fatigue. Today I feel fine.y
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-02-13
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-02-14
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Headache, Fatigue or tiredness, Nausea
    Adult check-in
  6. 2021-02-15
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-02-16
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-02-17
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-02-24
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-08-16
    Survey response — 6 months, dose 1
    MedDRA: Arthralgia, Fatigue, Injection site pain, Injection site pruritus, Injection site warmth, Pyrexia — Feeling: Poor
    Free text: Booster ( 3rd vaccine) on 8.14.21 of Moderna. Pain at the injection site that evening, but felt fine. Today, 8.16.21 exhausted, fever, joints ache, injection site warm and itchy.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  11. 2022-02-10
    Health check-in — 12 months, dose 1
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-02-10Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-02-12

Systemic reaction (other): * I am now 2 days out from the vaccine. The day of the vaccine, My face immediately became tingly and this lasted for approximately 2 hours. The day after the vaccine I had a headache, nausea, and fatigue. Today I feel fine.y

Release 9 — 6 months, dose 1

2021-08-16

Symptoms: Booster ( 3rd vaccine) on 8.14.21 of Moderna. Pain at the injection site that evening, but felt fine. Today, 8.16.21 exhausted, fever, joints ache, injection site warm and itchy.

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 ✓ · ✓
SDFatigue ✓ · ✓
SDInjection site pain ✓ · ✓
SDInjection site pruritus ✓ · ✓
SDInjection site warmth ✓ · ✓
SDPyrexia ✓ · ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓

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