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6HN-31585-50127

2 vaccinations 6 coded responses 23 check-ins 6 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
535 / WI
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-02-27
    Dose 1 — Moderna
  2. 2021-03-01
    Registered in v-safe
  3. 2021-03-01
    Survey response — days 1–6 daily, dose 1
    MedDRA: Breast pain, Nausea, Pain — Feeling: Good · Site: Pain · Nausea
    Free text: Nausea was the day after injection, but I want registered yet. Occasional shooting pain in breast on infection side.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-02
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-03-03
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-05
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-03-14
    Survey response — day 14, dose 1
    MedDRA: Fatigue, Feeling abnormal, Headache, Hypersomnia, Pain — Feeling: Good · Be unable to do your normal daily activities
    Free text: Last Monday/Tuesday I had a bad headache and I felt off. Extreme fatigue and a achiness. Need to nap for a couple hours midday (I never do that) and I slept for ten hours two nights in a row. I also never do that! My VHR went from 34 to 18.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-27
    Dose 2 — Moderna
  12. 2021-03-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Eye pain, Facial pain, Pain — Feeling: Fair · Site: Pain, Swelling · Fatigue or tiredness, Nausea
    Free text: Pain behind my right eye and radiating down my cheek
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  13. 2021-03-29
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  14. 2021-03-30
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  15. 2021-03-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  16. 2021-04-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  17. 2021-04-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  18. 2021-04-03
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  19. 2021-04-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  20. 2021-04-17
    Survey response — day 21, dose 2
    MedDRA: Dizziness — Feeling: Good
    Free text: I think the dizziness I am experiencing while exercising may be vaccine related? Took me awhile to consider that possibility.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-24
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-05-01
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-05-08
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-06-28
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-09-25
    Survey response — 6 months, dose 2
    MedDRA: Exposure to SARS-CoV-2, Medical counselling, Oropharyngeal pain, Pyrexia, Respiratory tract congestion — Feeling: Good · Be unable to do your normal daily activities
    Free text: Fever, congestion, sore throat. My husband tested positive for COVID. His nurse said I most certainly also had it, although I did not get tested. We had been together constantly.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2022-03-28
    Survey response — 12 months, dose 2
    MedDRA: Breakthrough COVID-19, Fatigue, Pyrexia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Break through COVID in early September. Mild case. Fever and fatigue.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-02-27Moderna
22021-03-27Moderna

Free text

Release 4 — days 1–6 daily, dose 1

2021-03-01

Systemic reaction (other): Nausea was the day after injection, but I want registered yet. Occasional shooting pain in breast on infection side.

Release 5 — day 14, dose 1

2021-03-14

Symptoms: Last Monday/Tuesday I had a bad headache and I felt off. Extreme fatigue and a achiness. Need to nap for a couple hours midday (I never do that) and I slept for ten hours two nights in a row. I also never do that! My VHR went from 34 to 18.

Release 6 — days 1–6 daily, dose 2

2021-03-28

Systemic reaction (other): Pain behind my right eye and radiating down my cheek

Release 7 — day 21, dose 2

2021-04-17

Symptoms: I think the dizziness I am experiencing while exercising may be vaccine related? Took me awhile to consider that possibility.

Release 9 — 6 months, dose 2

2021-09-25

Symptoms: Fever, congestion, sore throat. My husband tested positive for COVID. His nurse said I most certainly also had it, although I did not get tested. We had been together constantly.

Release 11 — 12 months, dose 2

2022-03-28

Symptoms: Break through COVID in early September. Mild case. Fever and fatigue.

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
SDBreakthrough COVID-19 · · ✓
SDDizziness ✓ ✓ ✓
SDExposure to SARS-CoV-2 · · ✓
SDFatigue ✓ ✓ ✓
SDFeeling abnormal ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDHypersomnia ✓ ✓ ✓
SDMedical counselling · · ✓
SDOropharyngeal pain · · ✓
SDPain ✓ ✓ ✓
SDPyrexia · · ✓
SDRespiratory tract congestion · · ✓
SROBreast pain ✓ ✓ ✓
SROEye pain ✓ ✓ ✓
SROFacial pain ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SROPain ✓ ✓ ✓

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