6JB-31333-19583
4 vaccinations
7 coded responses
28 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 61-65
- ZIP prefix
- 847 / UT
- Registered
- 2021-03-11
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Dose 1 — Moderna
-
2021-03-11
Registered in v-safe
-
2021-03-12
Survey response — day 7, dose 1MedDRA: Fatigue, Headache, Injection site pain — Feeling: GoodFree text: I did not register the day I got my vaccination. I did have pain at the site of the injection for a few days, and headache 2 days after. I had fatigue for about 4 days.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-03-18
-
2021-03-25
Survey response — day 21, dose 1MedDRA: Fatigue, Oropharyngeal pain, Rhinorrhoea — Feeling: FairFree text: Sore throat and runny nose, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
-
2021-04-01
Dose 2 — Moderna
-
2021-04-01
Survey response — day 0, dose 2MedDRA: Pain in extremity, Vaccine positive rechallenge — Feeling: Good · Site: PainFree text: A weird thing is, I feel pain in the arm which did not receive the vaccination. I experienced this also with my first dose. My husband did as well. Weird!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Chills, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activitiesAdult check-in
-
2021-04-03
Survey response — days 1–6 daily, dose 2MedDRA: Heart rate increased — Feeling: Good · Site: Pain, Swelling · Muscle or body achesFree text: Yesterday, my second day, I forgot to report increased heart rate. I also had a fever later on my second day that I didn't report.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-04
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
- 2021-04-15
- 2021-04-22
- 2021-04-29
- 2021-05-06
- 2021-05-14
-
2021-07-03
Survey response — 3 months, dose 2MedDRA: Dizziness, Fatigue, Nausea — Feeling: FairFree text: Nausea, light-headed, fatigueMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-09-30
-
2021-11-06
Dose 3 — Moderna
- 2022-04-01
-
2022-04-15
Dose 4 — Moderna
- 2022-04-27
- 2022-04-29
- 2022-05-06
- 2022-05-13
- 2022-05-20
-
2022-05-27
Survey response — day 42, dose 4MedDRA: Back pain, Chest pain, Chills, Chromaturia, Headache, Nausea, Rash — Feeling: Poor · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Outpatient clinic or urgent care clinic visitFree text: Headache, dark urine, nausea, rash on torso, pain in chest and back, chillsMedDRA releases: 2024-11 · check-in free text available
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2022-05-27
Report sent to call center — day 42, dose 4Be unable to do your normal daily activities · Get care from a doctor or other healthcare professionalOutpatient clinic or urgent care clinic visit · 1 call case(s)
- 2022-05-31
- 2022-06-03
- 2022-07-15
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2022-10-21
Survey response — 6 months, dose 4MedDRA: Cough, Ear pain, Oropharyngeal pain, Respiratory tract congestion, Rhinorrhoea — Feeling: Fair · Be unable to work or attend schoolFree text: Cough, sore throat, congestion, runny nose, earacheMedDRA releases: 2024-11 · check-in free text available
- 2023-04-17
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-11-06 | Moderna | No |
| 4 | 2022-04-15 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 7, dose 1
Systemic reaction (other): I did not register the day I got my vaccination. I did have pain at the site of the injection for a few days, and headache 2 days after. I had fatigue for about 4 days.
Release 6 — day 21, dose 1
Symptoms: Sore throat and runny nose, fatigue
Release 6 — day 0, dose 2
Systemic reaction (other): A weird thing is, I feel pain in the arm which did not receive the vaccination. I experienced this also with my first dose. My husband did as well. Weird!
Release 6 — days 1–6 daily, dose 2
Systemic reaction (other): Yesterday, my second day, I forgot to report increased heart rate. I also had a fever later on my second day that I didn't report.
Release 9 — 3 months, dose 2
Symptoms: Nausea, light-headed, fatigue
Release 11 — day 42, dose 4
Symptoms: Headache, dark urine, nausea, rash on torso, pain in chest and back, chills
Release 12 — 6 months, dose 4
Symptoms: Cough, sore throat, congestion, runny nose, earache
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 |
|---|---|---|---|---|
| SD | Back pain | · | · | ✓ |
| SD | Chest pain | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Chromaturia | · | · | ✓ |
| SD | Cough | · | · | ✓ |
| SD | Dizziness | ✓ | ✓ | ✓ |
| SD | Ear pain | · | · | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Oropharyngeal pain | ✓ | ✓ | ✓ |
| SD | Rash | · | · | ✓ |
| SD | Respiratory tract congestion | · | · | ✓ |
| SD | Rhinorrhoea | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Heart rate increased | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Pain in extremity | ✓ | ✓ | ✓ |
| SRO | Vaccine positive rechallenge | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release