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6WJ-29101-11783

2 vaccinations 16 coded responses 25 check-ins 16 free-text entries 0 call cases
Sex
Female
Age at first dose
61-65
ZIP prefix
063 / CT
Registered
2021-03-04
Relationship
Self
Race
Other
Ethnicity
Hispanic or Latino

Timeline

  1. 2021-03-03
    Dose 1 — Moderna
  2. 2021-03-04
    Registered in v-safe
  3. 2021-03-04
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia, Tremor — Feeling: Fair · Site: Pain · Muscle or body aches, Abdominal pain
    Free text: I woke up at 1:30am because my both arms were tingling, and my body was shaking. I did drink hot milk, and plenty of warm water and I got better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-05
    Survey response — days 1–6 daily, dose 1
    MedDRA: Paraesthesia, Sleep disorder, Tremor — Feeling: Good · Site: Pain · Muscle or body aches, Diarrhea, Abdominal pain
    Free text: Tingling and shaking the hight I got the vaccine when I was sleeping. It woke me up. I did drink hot milk and warm water and I got better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-06
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2021-03-07
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  7. 2021-03-08
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  8. 2021-03-09
    Survey response — days 1–6 daily, dose 1
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-10
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  10. 2021-03-17
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-03-24
    Survey response — day 21, dose 1
    MedDRA: Gastrooesophageal reflux disease, Self-medication, Sleep disorder, Somnolence, Tremor — Feeling: Good
    Free text: Last night l woke up at midnight with acid reflux, and I was shaking. I had a cup of hot oregano and garlic tea and I got better.Another thing I note is that I feel sleepier than before vaccinated.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-03-30
    Dose 2 — Moderna
  13. 2021-03-30
    Survey response — day 0, dose 2
    MedDRA: No adverse event — Feeling: Good
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-03-31
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Site: Pain, Swelling · Headache, Nausea
    Free text: Ni
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Good · Site: Pain, Swelling · Headache, Nausea, Abdominal pain
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-04-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Gastrooesophageal reflux disease — Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Free text: Accidit reflux.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-04-03
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain, Swelling · Muscle or body aches
    Adult check-in
  18. 2021-04-04
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Joint pains, Muscle or body aches
    Free text: No
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-04-05
    Survey response — days 1–6 daily, dose 2
    MedDRA: No adverse event — Feeling: Fair · Muscle or body aches
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-04-06
    Survey response — day 7, dose 2
    MedDRA: No adverse event — Feeling: Fair · Joint pains
    Free text: None
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  21. 2021-04-13
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  22. 2021-04-20
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Good
    Free text: Headache.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  23. 2021-04-27
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  24. 2021-05-05
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-05-11
    Survey response — day 42, dose 2
    MedDRA: Migraine — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Migraine.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  26. 2021-06-29
    Survey response — 3 months, dose 2
    MedDRA: Gastrooesophageal reflux disease, Migraine, Pain — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Migraine, body ache and acidy reflex.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  27. 2021-09-28
    Survey response — 6 months, dose 2
    MedDRA: Fatigue, Headache, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Feel tired and sleepy very often.Some headache.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-03-30
    Survey response — 12 months, dose 2
    MedDRA: Pain, Somnolence — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Sleepy to often and ache.
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-03Moderna
22021-03-30Moderna

Free text

Release 5 — days 1–6 daily, dose 1

2021-03-04

Systemic reaction (other): I woke up at 1:30am because my both arms were tingling, and my body was shaking. I did drink hot milk, and plenty of warm water and I got better.

2021-03-05

Systemic reaction (other): Tingling and shaking the hight I got the vaccine when I was sleeping. It woke me up. I did drink hot milk and warm water and I got better.

2021-03-09

Systemic reaction (other): No

Release 6 — day 21, dose 1

2021-03-24

Symptoms: Last night l woke up at midnight with acid reflux, and I was shaking. I had a cup of hot oregano and garlic tea and I got better.Another thing I note is that I feel sleepier than before vaccinated.

Release 6 — day 0, dose 2

2021-03-30

Systemic reaction (other): No

Release 6 — days 1–6 daily, dose 2

2021-03-31

Systemic reaction (other): Ni

2021-04-01

Systemic reaction (other): No

2021-04-02

Systemic reaction (other): Accidit reflux.

2021-04-04

Systemic reaction (other): No

2021-04-05

Systemic reaction (other): None

Release 7 — day 7, dose 2

2021-04-06

Systemic reaction (other): None

Release 7 — day 21, dose 2

2021-04-20

Symptoms: Headache.

Release 8 — day 42, dose 2

2021-05-11

Symptoms: Migraine.

Release 9 — 3 months, dose 2

2021-06-29

Symptoms: Migraine, body ache and acidy reflex.

Release 9 — 6 months, dose 2

2021-09-28

Symptoms: Feel tired and sleepy very often.Some headache.

Release 11 — 12 months, dose 2

2022-03-30

Symptoms: Sleepy to often and ache.

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
SDFatigue · · ✓
SDGastrooesophageal reflux disease ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDMigraine ✓ ✓ ✓
SDPain ✓ ✓ ✓
SDSelf-medication ✓ ✓ ✓
SDSleep disorder ✓ ✓ ✓
SDSomnolence ✓ ✓ ✓
SDTremor ✓ ✓ ✓
SROGastrooesophageal reflux disease ✓ ✓ ✓
SRONo adverse event ✓ ✓ ✓
SROParaesthesia ✓ ✓ ✓
SROSleep disorder ✓ ✓ ✓
SROTremor ✓ ✓ ✓

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