6R9-30086-40799
3 vaccinations
7 coded responses
27 check-ins
7 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 930 / CA
- Registered
- 2021-03-04
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-04
Registered in v-safe
-
2021-03-04
Dose 1 — Moderna
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2021-03-04
Survey response — day 0, dose 1MedDRA: Arthralgia, Injection site bruising — Feeling: Fair · Site: Pain, Redness · Muscle or body achesFree text: Right shoulder aches; light bruising from injection site around front to under clavicle.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-05
Survey response — days 1–6 daily, dose 1MedDRA: Arthralgia, Injected limb mobility decreased, Injection site pain — Feeling: Good · Site: Pain · Muscle or body achesFree text: Injection spot sore to the touch. Shoulder sore- difficult to raise right armMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-27
Survey response — day 21, dose 1MedDRA: Chills, Diarrhoea, Fatigue, Nausea, Vomiting — Feeling: FairFree text: 3-24-21 nausea, vomiting, chills, severe diarrhea from 2100-0200 I was fine after 24 hrs from vacc so I opted out. This is poss just a 24 hr bug, but I figured I should rpt. No other symptoms except tiredness.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Dose 2 — Moderna
- 2021-04-01
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2021-04-02
Health check-in — days 1–6 daily, dose 2Feeling: Poor · Site: Pain · Fever · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-03
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Fatigue or tiredness, DiarrheaAdult check-in
-
2021-04-04
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Redness · Fatigue or tirednessAdult check-in
- 2021-04-05
- 2021-04-06
- 2021-04-07
- 2021-04-08
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2021-04-15
Survey response — day 14, dose 2MedDRA: Asthenia, Fatigue — Feeling: Good · Be unable to do your normal daily activitiesFree text: Fatigue like never before. Im taking up to 5 naps a day. Have NO energy!MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-22
- 2021-04-29
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2021-05-06
Survey response — day 35, dose 2MedDRA: Fatigue, Night sweats — Feeling: Fair · Be unable to do your normal daily activitiesFree text: Extreme fatigue; night sweatsMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-05-14
- 2021-07-01
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2021-09-30
Survey response — 6 months, dose 2MedDRA: Asthenia, Depression, Fatigue, Loss of personal independence in daily activities, Weight decreased — Feeling: Fair · 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: Fatigue, weight loss have made everyday tasks difficult & depression is also a factor. Ive had colonoscopy & C-SCAN (chest, stomach, pelvis) all neg results. I want my energy back.MedDRA releases: 2024-11 · check-in free text available
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2021-09-30
Report sent to call center — 6 months, dose 2Be 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)
- 2021-10-06
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2021-10-30
Dose 3 — Moderna
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2021-10-31
Survey response — days 1–6 daily, dose 3MedDRA: Malaise — Feeling: Fair · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Diarrhea · Be unable to do your normal daily activitiesFree text: I have the blahsMedDRA releases: 2024-11 · check-in free text available
- 2021-11-01
- 2021-11-15
- 2021-11-21
- 2021-12-04
- 2021-12-12
- 2022-01-31
- 2022-04-30
- 2022-11-01
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-04 | Moderna | |
| 2 | 2021-04-01 | Moderna | |
| 3 | 2021-10-30 | Moderna | No |
Call center
1 call center case
1 unsuccessful
Free text
Release 5 — day 0, dose 1
Systemic reaction (other): Right shoulder aches; light bruising from injection site around front to under clavicle.
Release 5 — days 1–6 daily, dose 1
Systemic reaction (other): Injection spot sore to the touch. Shoulder sore- difficult to raise right arm
Release 6 — day 21, dose 1
Symptoms: 3-24-21 nausea, vomiting, chills, severe diarrhea from 2100-0200 I was fine after 24 hrs from vacc so I opted out. This is poss just a 24 hr bug, but I figured I should rpt. No other symptoms except tiredness.
Release 7 — day 14, dose 2
Symptoms: Fatigue like never before. Im taking up to 5 naps a day. Have NO energy!
Release 8 — day 35, dose 2
Symptoms: Extreme fatigue; night sweats
Release 9 — 6 months, dose 2
Symptoms: Fatigue, weight loss have made everyday tasks difficult & depression is also a factor. Ive had colonoscopy & C-SCAN (chest, stomach, pelvis) all neg results. I want my energy back.
Release 10 — days 1–6 daily, dose 3
Systemic reaction (other): I have the blahs
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 | Asthenia | ✓ | ✓ | ✓ |
| SD | Chills | ✓ | ✓ | ✓ |
| SD | Depression | · | · | ✓ |
| SD | Diarrhoea | ✓ | ✓ | ✓ |
| SD | Fatigue | ✓ | ✓ | ✓ |
| SD | Loss of personal independence in daily activities | · | · | ✓ |
| SD | Nausea | ✓ | ✓ | ✓ |
| SD | Night sweats | ✓ | ✓ | ✓ |
| SD | Vomiting | ✓ | ✓ | ✓ |
| SD | Weight decreased | · | · | ✓ |
| SRO | Arthralgia | ✓ | ✓ | ✓ |
| SRO | Injected limb mobility decreased | ✓ | ✓ | ✓ |
| SRO | Injection site bruising | ✓ | ✓ | ✓ |
| SRO | Injection site pain | ✓ | ✓ | ✓ |
| SRO | Malaise | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release