6UK-13315-97870
5 vaccinations
13 coded responses
38 check-ins
13 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 66+
- ZIP prefix
- 752 / TX
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-01-14
Dose 1 — Moderna
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2021-02-21
Dose 2 — Moderna
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2021-04-09
Registered in v-safe
- 2021-04-09
- 2021-05-23
- 2021-08-22
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2021-09-08
Dose 3 — Moderna
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2021-09-08
Survey response — day 0, dose 3MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tirednessFree text: NoneMedDRA releases: 2024-11 · check-in free text available
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2021-09-09
Survey response — days 1–6 daily, dose 3MedDRA: Somnolence — Feeling: Poor · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Quite sleepy, have spent the day lying down and dozing.MedDRA releases: 2024-11 · check-in free text available
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2021-09-10
Survey response — days 1–6 daily, dose 3MedDRA: Adverse reaction — Feeling: Good · Site: Pain, Redness, Swelling, ItchingFree text: Symptoms started fading about 27 hours after they began. No headache, no joint or muscle pain, no chills or nausea. Reactions mostly gone by bedtime last night.MedDRA releases: 2024-11 · check-in free text available
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2021-09-11
Survey response — days 1–6 daily, dose 3MedDRA: Fatigue, Somnolence — Feeling: Good · Site: Pain, Redness, Swelling, Itching · Fatigue or tiredness · Be unable to do your normal daily activitiesFree text: Fatigue limits activity level somewhat. Have needed afternoon nap.MedDRA releases: 2024-11 · check-in free text available
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2021-09-12
Survey response — days 1–6 daily, dose 3MedDRA: No adverse event — Feeling: Good · Site: Redness, Swelling, ItchingFree text: NoMedDRA releases: 2024-11 · check-in free text available
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2021-09-13
Survey response — days 1–6 daily, dose 3MedDRA: Injection site pruritus, Pruritus, Self-medication — Feeling: Good · Site: Redness, Swelling, ItchingFree text: Since yesterday evening Ive reduced the itching by taking an allergy pill (XYZAL) which has worked. But without allergy pill, itching at vaccination site would bother me.MedDRA releases: 2024-11 · check-in free text available
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2021-09-14
Survey response — days 1–6 daily, dose 3MedDRA: Injection site erythema, Injection site pruritus — Feeling: Good · Site: Redness, ItchingFree text: Minimal pinkness, itchiness at vaccination site.MedDRA releases: 2024-11 · check-in free text available
- 2021-09-15
- 2021-09-22
- 2021-09-29
- 2021-10-06
- 2021-10-13
- 2021-10-20
- 2021-12-08
- 2022-03-09
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2022-03-31
Dose 4 — Moderna
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2022-04-14
Survey response — day 14, dose 4MedDRA: Arthralgia, Chills, Fatigue, Headache, Injection site pain, Myalgia — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: Typical (for me) side effects from Moderna vaccine shortly after my 2nd booster: unpleasant pain in muscles, especially at vaccine site, joint pain, headache, fatigue, quite chilled all over. Lasted 26 hours.MedDRA releases: 2024-11 · check-in free text available
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2022-04-21
Survey response — day 21, dose 4MedDRA: Arthritis, Asthenia, Pre-existing disease — Feeling: Good · Be unable to do your normal daily activitiesFree text: Arthritis in hip worse because I don't have much energy so am not exercising. Will start physical therapy next week.MedDRA releases: 2024-11 · check-in free text available
- 2022-04-28
- 2022-05-05
- 2022-05-12
- 2022-06-30
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2022-09-08
Dose 5 — Moderna
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2022-09-08
Health check-in — day 0, dose 5Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-09
Health check-in — days 1–6 daily, dose 5Feeling: Poor · Site: Pain · Fever · Chills, Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2022-09-10
Survey response — days 1–6 daily, dose 5MedDRA: Brain fog — Feeling: Good · Site: Pain, Redness, Swelling · Fatigue or tirednessFree text: Yesterday, during the height of symptoms, had brain fog.MedDRA releases: 2024-11 · check-in free text available
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2022-09-11
Survey response — days 1–6 daily, dose 5MedDRA: Brain fog — Feeling: Good · Site: PainFree text: Brain fog experienced 2 days ago completely gone.MedDRA releases: 2024-11 · check-in free text available
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2022-09-12
Survey response — days 1–6 daily, dose 5MedDRA: No adverse event — Feeling: Good · Site: ItchingFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-09-13
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2022-09-17
Survey response — day 7, dose 5MedDRA: No adverse event — Feeling: GoodFree text:MedDRA releases: 2024-11 · check-in free text available
- 2022-09-22
- 2022-09-29
- 2022-10-06
- 2022-10-13
- 2022-10-20
- 2022-12-08
- 2023-03-09
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-01-14 | Moderna | |
| 2 | 2021-02-21 | Moderna | |
| 3 | 2021-09-08 | Moderna | No |
| 4 | 2022-03-31 | Moderna | No |
| 5 | 2022-09-08 | Moderna | No |
Free text
Release 9 — day 0, dose 3
Systemic reaction (other): None
Release 9 — days 1–6 daily, dose 3
Systemic reaction (other): Quite sleepy, have spent the day lying down and dozing.
Systemic reaction (other): Symptoms started fading about 27 hours after they began. No headache, no joint or muscle pain, no chills or nausea. Reactions mostly gone by bedtime last night.
Systemic reaction (other): Fatigue limits activity level somewhat. Have needed afternoon nap.
Systemic reaction (other): No
Systemic reaction (other): Since yesterday evening Ive reduced the itching by taking an allergy pill (XYZAL) which has worked. But without allergy pill, itching at vaccination site would bother me.
Systemic reaction (other): Minimal pinkness, itchiness at vaccination site.
Release 11 — day 14, dose 4
Symptoms: Typical (for me) side effects from Moderna vaccine shortly after my 2nd booster: unpleasant pain in muscles, especially at vaccine site, joint pain, headache, fatigue, quite chilled all over. Lasted 26 hours.
Release 11 — day 21, dose 4
Symptoms: Arthritis in hip worse because I don't have much energy so am not exercising. Will start physical therapy next week.
Release 12 — days 1–6 daily, dose 5
Systemic reaction (other): Yesterday, during the height of symptoms, had brain fog.
Systemic reaction (other): Brain fog experienced 2 days ago completely gone.
Release 12 — day 7, dose 5
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 | Arthralgia | · | · | ✓ |
| SD | Arthritis | · | · | ✓ |
| SD | Asthenia | · | · | ✓ |
| SD | Chills | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Headache | · | · | ✓ |
| SD | Injection site pain | · | · | ✓ |
| SD | Myalgia | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SRO | Adverse reaction | · | · | ✓ |
| SRO | Brain fog | · | · | ✓ |
| SRO | Fatigue | · | · | ✓ |
| SRO | Injection site erythema | · | · | ✓ |
| SRO | Injection site pruritus | · | · | ✓ |
| SRO | No adverse event | · | · | ✓ |
| SRO | Pruritus | · | · | ✓ |
| SRO | Self-medication | · | · | ✓ |
| SRO | Somnolence | · | · | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release