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6MJ-21582-18980

2 vaccinations 3 coded responses 15 check-ins 3 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
680 / NE
Registered
2021-01-04
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-30
    Dose 1 — Moderna
  2. 2021-01-04
    Registered in v-safe
  3. 2021-01-04
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2021-01-06
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  5. 2021-01-13
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  6. 2021-01-20
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  7. 2021-01-27
    Dose 2 — Moderna
  8. 2021-01-30
    Survey response — days 1–6 daily, dose 2
    MedDRA: Decreased appetite, Dizziness, Fatigue, Impaired work ability, Nausea — Feeling: Good · Site: Pain · Be unable to do your normal daily activities
    Free text: Missed survey on day of and 2 days following second shot. Fatigue, nausea and dizziness. Second day dizziness subsided but still fatigue and no appetite. Missed work both days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-31
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Pain · None
    Adult check-in
  10. 2021-02-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  11. 2021-02-02
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  12. 2021-02-10
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-02-17
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  14. 2021-02-24
    Survey response — day 28, dose 2
    MedDRA: Nasopharyngitis, Oropharyngeal pain — Feeling: Fair · Be unable to work
    Free text: Just a cold with sore throat. Resolving.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-03-03
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-03-10
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  17. 2021-07-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  18. 2022-01-28
    Survey response — 12 months, dose 2
    MedDRA: Exposure to SARS-CoV-2, Fatigue, Headache, Oropharyngeal pain, Respiratory tract congestion, SARS-CoV-2 test negative — Feeling: Fair · Be unable to work or attend school, Be unable to do your normal daily activities
    Free text: Marked fatigue x3 days with headache. Unale to be tested into 5 days post onset of ax and 7 days post confirmed Covid case exposure. My Covid PCR was negative. Today with new onset sore throat and congestion
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12020-12-30Moderna
22021-01-27Moderna

Free text

Release 3 — days 1–6 daily, dose 2

2021-01-30

Systemic reaction (other): Missed survey on day of and 2 days following second shot. Fatigue, nausea and dizziness. Second day dizziness subsided but still fatigue and no appetite. Missed work both days.

Release 4 — day 28, dose 2

2021-02-24

Symptoms: Just a cold with sore throat. Resolving.

Release 11 — 12 months, dose 2

2022-01-28

Symptoms: Marked fatigue x3 days with headache. Unale to be tested into 5 days post onset of ax and 7 days post confirmed Covid case exposure. My Covid PCR was negative. Today with new onset sore throat and congestion

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
SDExposure to SARS-CoV-2 · · ✓
SDFatigue · · ✓
SDHeadache · · ✓
SDNasopharyngitis ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDRespiratory tract congestion · · ✓
SDSARS-CoV-2 test negative · · ✓
SRODecreased appetite ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROImpaired work ability ✓ ✓ ✓
SRONausea ✓ ✓ ✓

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