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6R4-39529-84122

2 vaccinations 12 coded responses 19 check-ins 12 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
935 / CA
Registered
2021-03-22
Relationship
Self
Race
White
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-22
    Registered in v-safe
  2. 2021-03-22
    Dose 1 — Moderna
  3. 2021-03-22
    Survey response — day 0, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Chills, Fatigue, Somnolence — Feeling: Good · Chills
    Free text: Chills few hours after the injection and felt tired/sleepy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Oropharyngeal pain — Feeling: Fair · Chills
    Free text: Left tonsil a dear pain. Sudden sharp pains on left tonsil.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-28
    Survey response — days 1–6 daily, dose 1
    MedDRA: Asthenia, Fatigue, Somnolence — Feeling: Fair · Headache · Be unable to do your normal daily activities
    Free text: Tiredness/sleepy, Low energy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-29
    Survey response — day 7, dose 1
    MedDRA: Ear pain, Fatigue, Headache, Nausea, Oropharyngeal pain, Somnolence — Feeling: Fair · Headache, Joint pains · Be unable to do your normal daily activities
    Free text: Tiredness/sleepy. Tonsil/ear soreness. Sick headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-05
    Survey response — day 14, dose 1
    MedDRA: Arthralgia, Ear pain, Fatigue, Gastrointestinal disorder, Gastrointestinal wall thickening, Headache, Induration, Muscle rigidity, Myalgia, Oropharyngeal pain, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Hard/thicker stomach from upper to lower for 3 days now. Fatigue/tired/sleepy for 3 days. Joint pain/ muscle ache, headache for 5 days. Right ear/tonsil pain for 5 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-12
    Survey response — day 21, dose 1
    MedDRA: Fatigue, Head discomfort, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Still get feeling of tiredness/sleepiness for long periods of time. Head feels heavy/tense.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-04-19
    Dose 2 — Moderna
  11. 2021-04-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Somnolence — Feeling: Fair · Headache, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Tired/sleepy
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-23
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Headache, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  13. 2021-04-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  14. 2021-04-25
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Chills, Headache · Be unable to do your normal daily activities
    Adult check-in
  15. 2021-04-26
    Health check-in — day 7, dose 2
    Feeling: Fair · Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  16. 2021-05-03
    Health check-in — day 14, dose 2
    Feeling: Fair
    Adult check-in
  17. 2021-05-10
    Survey response — day 21, dose 2
    MedDRA: Asthenia, Fatigue, Head discomfort — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sudden loss of energy at random Times of the day.Tiredness/sleepiness at any given moment. Head feels heavy. In turn I feel slow to respond/react.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-05-17
    Survey response — day 28, dose 2
    MedDRA: Asthenia, Fatigue, Headache, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache, tired feeling at any time of day. Loss of energy, (slow), sleepy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-05-24
    Survey response — day 35, dose 2
    MedDRA: Fatigue, Headache, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache, fatigue, tired and sleepy.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-05-31
    Survey response — day 42, dose 2
    MedDRA: Dizziness, Fatigue, Headache, Sluggishness, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Headache / fatigue / slight dizziness / get sleepy and feel slow
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-07-22
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-10-18
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-03-22Moderna
22021-04-19Moderna

Free text

Release 6 — day 0, dose 1

2021-03-22

Systemic reaction (other): None

Release 6 — days 1–6 daily, dose 1

2021-03-23

Systemic reaction (other): Chills few hours after the injection and felt tired/sleepy.

2021-03-24

Systemic reaction (other): Left tonsil a dear pain. Sudden sharp pains on left tonsil.

2021-03-28

Systemic reaction (other): Tiredness/sleepy, Low energy.

Release 6 — day 7, dose 1

2021-03-29

Systemic reaction (other): Tiredness/sleepy. Tonsil/ear soreness. Sick headache.

Release 6 — day 14, dose 1

2021-04-05

Symptoms: Hard/thicker stomach from upper to lower for 3 days now. Fatigue/tired/sleepy for 3 days. Joint pain/ muscle ache, headache for 5 days. Right ear/tonsil pain for 5 days.

Release 7 — day 21, dose 1

2021-04-12

Symptoms: Still get feeling of tiredness/sleepiness for long periods of time. Head feels heavy/tense.

Release 7 — days 1–6 daily, dose 2

2021-04-21

Systemic reaction (other): Tired/sleepy

Release 8 — day 21, dose 2

2021-05-10

Symptoms: Sudden loss of energy at random Times of the day.Tiredness/sleepiness at any given moment. Head feels heavy. In turn I feel slow to respond/react.

Release 8 — day 28, dose 2

2021-05-17

Symptoms: Headache, tired feeling at any time of day. Loss of energy, (slow), sleepy.

Release 8 — day 35, dose 2

2021-05-24

Symptoms: Headache, fatigue, tired and sleepy.

Release 8 — day 42, dose 2

2021-05-31

Symptoms: Headache / fatigue / slight dizziness / get sleepy and feel slow

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 ✓ ✓ ✓
SDAsthenia ✓ ✓ ✓
SDDizziness ✓ ✓ ✓
SDEar pain ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SDGastrointestinal disorder ○ ✓ ○
SDGastrointestinal wall thickening ✓ · ✓
SDHead discomfort ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDInduration ✓ · ✓
SDMuscle rigidity ○ ✓ ○
SDMyalgia ✓ ✓ ✓
SDOropharyngeal pain ✓ ✓ ✓
SDSluggishness · · ✓
SDSomnolence ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SRONausea ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROOropharyngeal pain ✓ ✓ ✓
SROSomnolence ✓ ✓ ✓

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

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