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6W9-19338-14943

5 vaccinations 22 coded responses 49 check-ins 22 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
816 / CO
Registered
2021-01-21
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-21
    Registered in v-safe
  2. 2021-01-21
    Dose 1 — Moderna
  3. 2021-01-21
    Survey response — day 0, dose 1
    MedDRA: Hypoaesthesia, Immediate post-injection reaction — Feeling: Good · Site: Pain, Swelling · Fatigue or tiredness
    Free text: Numbness down injection arm and numbness on neck and face on side of injection starting 20 min after injection. Did not affect mouth or tongue. Started decreasing after another hour. At this time slight feeling of numbness on neck and face
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-01-22
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Fair · Site: Pain, Redness, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Slight numbness on face and neck on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-01-23
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: Slight numbness in face on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-01-24
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good · Site: Pain · Chills, Headache, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Slight numbness on face on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-01-25
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia, Injection site bruising — Feeling: Good · Headache, Muscle or body aches, Nausea
    Free text: Slight numbness on face on side of injection, bruise size of quarter at injection site
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-01-26
    Survey response — days 1–6 daily, dose 1
    MedDRA: Hypoaesthesia — Feeling: Good · Headache, Muscle or body aches
    Free text: Slight numbness on face on side of injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-01-27
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  10. 2021-01-28
    Survey response — day 7, dose 1
    MedDRA: Injection site hypoaesthesia — Feeling: Good · Headache, Muscle or body aches, Fatigue or tiredness, Nausea, Diarrhea
    Free text: Slight numbness on same side as injection
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  11. 2021-02-04
    Survey response — day 14, dose 1
    MedDRA: Injection site induration, Injection site pruritus, Injection site warmth — Feeling: Good
    Free text: On Thursday Jan 28 in the evening the upper part of my injected arm began itch horribly. The site of the injection was hard and very hot. This continued into Friday. By Saturday Jan 30 the itching had stopped; by Sunday the arm was normal.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-02-11
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  13. 2021-02-18
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-02-25
    Dose 2 — Moderna
  15. 2021-02-25
    Health check-in — day 0, dose 2
    Feeling: Good · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  16. 2021-02-26
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Joint swelling, Swelling — Feeling: Fair · Site: Swelling · Fever · Chills, Headache, Joint pains, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Joint pain with swelling on side of body that received vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-02-27
    Survey response — days 1–6 daily, dose 2
    MedDRA: Hyperhidrosis — Feeling: Good · Site: Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Free text: Cycles of drenching sweats
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-02-28
    Survey response — days 1–6 daily, dose 2
    MedDRA: Dizziness, Hyperhidrosis, Night sweats, Peripheral coldness — Feeling: Fair · Site: Swelling · Fever · Headache, Joint pains, Fatigue or tiredness, Nausea, Abdominal pain · Be unable to do your normal daily activities
    Free text: Dizziness, drenching night sweats ice cold feet (my feet are usually very warm)
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-03-01
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Fever · Headache, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  20. 2021-03-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  21. 2021-03-04
    Survey response — day 7, dose 2
    MedDRA: Non-24-hour sleep-wake disorder — Feeling: Good
    Free text: I am now back to normal sleep cycles which had been altered after the 2n vaccination
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-03-11
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-03-18
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-03-26
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-04-01
    Survey response — day 35, dose 2
    MedDRA: Abdominal pain, Diarrhoea, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Diarrhea last few days, abdominal pain, fever though I only go out once a week with mask and shield on to pick up delivery of groceries and prescriptions and no one ever comes in.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-04-08
    Survey response — day 42, dose 2
    MedDRA: Diarrhoea, Headache, Nausea — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache, nausea, diarrhea improving
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-05-27
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  28. 2021-08-26
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  29. 2021-11-03
    Dose 3 — Moderna
  30. 2021-11-04
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  31. 2021-11-05
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Swelling · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  32. 2021-11-06
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Adult check-in
  33. 2021-11-07
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Itching · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea
    Adult check-in
  34. 2021-11-08
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  35. 2021-11-09
    Survey response — days 1–6 daily, dose 3
    MedDRA: Musculoskeletal stiffness — Feeling: Good · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Stiff neck
    MedDRA releases: 2024-11 · check-in free text available
  36. 2021-11-10
    Survey response — day 7, dose 3
    MedDRA: Dizziness — Feeling: Fair · Headache, Joint pains, Muscle or body aches · Be unable to do your normal daily activities
    Free text: Dizziness
    MedDRA releases: 2024-11 · check-in free text available
  37. 2021-11-17
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  38. 2021-11-25
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  39. 2021-12-01
    Survey response — day 28, dose 3
    MedDRA: Abdominal pain upper, Cough, Diarrhoea, Disturbance in attention, Dizziness, Fatigue, Headache, Myalgia, Pyrexia — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Fever, cough, fatigue, achy muscles, dizziness, diarrhea, stomach pain, headache, inability to concentrate
    MedDRA releases: 2024-11 · check-in free text available
  40. 2021-12-08
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  41. 2021-12-15
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  42. 2022-02-02
    Survey response — 3 months, dose 3
    MedDRA: Fatigue, Headache, Myalgia, Nasal congestion, Nausea, Oropharyngeal pain, Pyrexia — Feeling: Good · Be unable to do your normal daily activities
    Free text: Headache, fatigue, sore throat, stuffy nose, muscle aches, fever, nausea
    MedDRA releases: 2024-11 · check-in free text available
  43. 2022-05-04
    Dose 4 — Moderna
  44. 2022-05-04
    Survey response — 6 months, dose 3
    MedDRA: COVID-19, Influenza — Feeling: Good · Be unable to do your normal daily activities
    Free text: Flu Covid
    MedDRA releases: 2024-11 · check-in free text available
  45. 2022-05-15
    Survey response — day 7, dose 4
    MedDRA: Pyrexia — Feeling: Good · Chills, Joint pains, Fatigue or tiredness
    Free text: Fever
    MedDRA releases: 2024-11 · check-in free text available
  46. 2022-05-19
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  47. 2022-08-03
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  48. 2022-09-16
    Dose 5 — Moderna
  49. 2022-09-19
    Health check-in — days 1–6 daily, dose 5
    Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Rash, not including the immediate area around the injection site · Be unable to do your normal daily activities
    Adult check-in
  50. 2022-09-20
    Survey response — days 1–6 daily, dose 5
    MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Itching all over body since day after receiving vaccine
    MedDRA releases: 2024-11 · check-in free text available
  51. 2022-09-21
    Survey response — days 1–6 daily, dose 5
    MedDRA: Pruritus — Feeling: Fair · Site: Pain, Itching · Fever · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness
    Free text: Itching all over
    MedDRA releases: 2024-11 · check-in free text available
  52. 2022-09-22
    Health check-in — days 1–6 daily, dose 5
    Feeling: Good · Headache, Joint pains, Muscle or body aches
    Adult check-in
  53. 2022-09-25
    Health check-in — day 7, dose 5
    Feeling: Good · None
    Adult check-in
  54. 2022-09-30
    Health check-in — day 14, dose 5
    Feeling: Good
    Adult check-in
  55. 2022-10-28
    Health check-in — day 42, dose 5
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-01-21Moderna
22021-02-25Moderna
32021-11-03Moderna No
42022-05-04Moderna No
52022-09-16Moderna No

Free text

Release 2 — day 0, dose 1

2021-01-21

Systemic reaction (other): Numbness down injection arm and numbness on neck and face on side of injection starting 20 min after injection. Did not affect mouth or tongue. Started decreasing after another hour. At this time slight feeling of numbness on neck and face

Release 2 — days 1–6 daily, dose 1

2021-01-22

Systemic reaction (other): Slight numbness on face and neck on side of injection

2021-01-23

Systemic reaction (other): Slight numbness in face on side of injection

2021-01-24

Systemic reaction (other): Slight numbness on face on side of injection

2021-01-25

Systemic reaction (other): Slight numbness on face on side of injection, bruise size of quarter at injection site

2021-01-26

Systemic reaction (other): Slight numbness on face on side of injection

Release 2 — day 7, dose 1

2021-01-28

Systemic reaction (other): Slight numbness on same side as injection

Release 3 — day 14, dose 1

2021-02-04

Symptoms: On Thursday Jan 28 in the evening the upper part of my injected arm began itch horribly. The site of the injection was hard and very hot. This continued into Friday. By Saturday Jan 30 the itching had stopped; by Sunday the arm was normal.

Release 4 — days 1–6 daily, dose 2

2021-02-26

Systemic reaction (other): Joint pain with swelling on side of body that received vaccine

2021-02-27

Systemic reaction (other): Cycles of drenching sweats

2021-02-28

Systemic reaction (other): Dizziness, drenching night sweats ice cold feet (my feet are usually very warm)

Release 5 — day 7, dose 2

2021-03-04

Systemic reaction (other): I am now back to normal sleep cycles which had been altered after the 2n vaccination

Release 6 — day 35, dose 2

2021-04-01

Symptoms: Diarrhea last few days, abdominal pain, fever though I only go out once a week with mask and shield on to pick up delivery of groceries and prescriptions and no one ever comes in.

Release 7 — day 42, dose 2

2021-04-08

Symptoms: Headache, nausea, diarrhea improving

Release 10 — days 1–6 daily, dose 3

2021-11-09

Systemic reaction (other): Stiff neck

Release 10 — day 7, dose 3

2021-11-10

Systemic reaction (other): Dizziness

Release 10 — day 28, dose 3

2021-12-01

Symptoms: Fever, cough, fatigue, achy muscles, dizziness, diarrhea, stomach pain, headache, inability to concentrate

Release 11 — 3 months, dose 3

2022-02-02

Symptoms: Headache, fatigue, sore throat, stuffy nose, muscle aches, fever, nausea

Release 11 — 6 months, dose 3

2022-05-04

Symptoms: Flu Covid

Release 11 — day 7, dose 4

2022-05-15

Systemic reaction (other): Fever

Release 12 — days 1–6 daily, dose 5

2022-09-20

Systemic reaction (other): Itching all over body since day after receiving vaccine

2022-09-21

Systemic reaction (other): Itching all over

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
SDAbdominal pain ✓ ✓ ✓
SDAbdominal pain upper · · ✓
SDCough · · ✓
SDCOVID-19 · · ✓
SDDiarrhoea ✓ ✓ ✓
SDDisturbance in attention · · ✓
SDDizziness · · ✓
SDFatigue · · ✓
SDHeadache ✓ ✓ ✓
SDInfluenza · · ✓
SDInjection site induration ✓ ✓ ✓
SDInjection site pruritus ✓ ✓ ✓
SDInjection site warmth ✓ ✓ ✓
SDMyalgia · · ✓
SDNasal congestion · · ✓
SDNausea ✓ ✓ ✓
SDOropharyngeal pain · · ✓
SDPyrexia ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SRODizziness ✓ ✓ ✓
SROHyperhidrosis ✓ ✓ ✓
SROHypoaesthesia ✓ ✓ ✓
SROImmediate post-injection reaction ✓ ✓ ✓
SROInjection site bruising ✓ ✓ ✓
SROInjection site hypoaesthesia ✓ ✓ ✓
SROJoint swelling ✓ ✓ ○
SROMusculoskeletal stiffness · · ✓
SRONight sweats ✓ ✓ ✓
SRONon-24-hour sleep-wake disorder ✓ ✓ ✓
SROPeripheral coldness ✓ ✓ ✓
SROPruritus · · ✓
SROPyrexia · · ✓
SROSwelling · · ✓

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

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