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6WL-27930-88179

3 vaccinations 16 coded responses 29 check-ins 16 free-text entries 0 call cases
Sex
Female
Age at first dose
51-55
ZIP prefix
190 / PA
Registered
2021-04-17
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-04-16
    Dose 1 — Moderna
  2. 2021-04-17
    Registered in v-safe
  3. 2021-04-17
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Fatigue or tiredness
    Adult check-in
  4. 2021-04-18
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Headache
    Adult check-in
  5. 2021-04-19
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Site: Pain · Chills, Headache, Joint pains
    Adult check-in
  6. 2021-04-20
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Chills, Joint pains, Fatigue or tiredness
    Free text: No abdominal pain, but very loose stool.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-04-21
    Survey response — days 1–6 daily, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Chills, Fatigue or tiredness
    Free text: Loose stool
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-04-23
    Survey response — day 7, dose 1
    MedDRA: Diarrhoea — Feeling: Fair · Fatigue or tiredness
    Free text: Loose stool
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-04-30
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  10. 2021-05-07
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-05-14
    Survey response — day 28, dose 1
    MedDRA: Fatigue — Feeling: Fair
    Free text: Im still extremely tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-05-21
    Dose 2 — Moderna
  13. 2021-05-21
    Survey response — day 35, dose 1
    MedDRA: Fatigue — Feeling: Fair
    Free text: Still feeling tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-05-28
    Survey response — day 7, dose 2
    MedDRA: Malaise, Pyrexia — Feeling: Good · Site: Pain · Be unable to work
    Free text: On Saturday 5/22 which was 1 day after my shot my fever spiked to 102 & I was very ill. I had a fever for 2 & 1/2 days.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-06-04
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-06-11
    Survey response — day 21, dose 2
    MedDRA: Fatigue — Feeling: Fair
    Free text: Im really tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  17. 2021-06-18
    Survey response — day 28, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Im still really tired.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-06-25
    Survey response — day 35, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Im still tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  19. 2021-07-04
    Survey response — day 42, dose 2
    MedDRA: Fatigue — Feeling: Good
    Free text: Im still tired!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-08-20
    Survey response — 3 months, dose 2
    MedDRA: Frequent bowel movements, Headache — Feeling: Fair
    Free text: Headaches & frequent bowel movements.
    MedDRA releases: 2021-09,2024-11 · check-in free text available
  21. 2021-11-21
    Health check-in — 6 months, dose 2
    Feeling: Fair
    Adult check-in
  22. 2021-12-17
    Dose 3 — Moderna
  23. 2021-12-21
    Survey response — days 1–6 daily, dose 3
    MedDRA: Gingival erythema, Gingival swelling — Feeling: Fair · Site: Pain · Fever · Chills, Fatigue or tiredness
    Free text: My gums are red & a bit swollen.
    MedDRA releases: 2024-11 · check-in free text available
  24. 2021-12-23
    Survey response — days 1–6 daily, dose 3
    MedDRA: Gingival erythema, Gingival swelling — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness
    Free text: My gums are still red & swollen.
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-12-24
    Survey response — day 7, dose 3
    MedDRA: Gingival erythema — Feeling: Fair · Fever · Headache, Joint pains, Muscle or body aches
    Free text: My gums are still red.
    MedDRA releases: 2024-11 · check-in free text available
  26. 2021-12-31
    Health check-in — day 14, dose 3
    Feeling: Fair
    Adult check-in
  27. 2022-01-07
    Survey response — day 21, dose 3
    MedDRA: Gingival erythema, Gingival swelling, Oral mucosal erythema, Oral pain — Feeling: Fair
    Free text: My gums are still swollen and red. I also have a spot in the roof of my mouth that is red and tender.
    MedDRA releases: 2024-11 · check-in free text available
  28. 2022-01-14
    Health check-in — day 28, dose 3
    Feeling: Fair
    Adult check-in
  29. 2022-01-21
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-28
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-03-18
    Survey response — 3 months, dose 3
    MedDRA: Fatigue — Feeling: Fair · Be unable to do your normal daily activities
    Free text: Increased tiredness.
    MedDRA releases: 2024-11 · check-in free text available
  32. 2022-06-19
    Health check-in — 6 months, dose 3
    Feeling: Fair
    Adult check-in
  33. 2022-12-17
    Health check-in — 12 months, dose 3
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12021-04-16Moderna
22021-05-21Moderna
32021-12-17Moderna No

Free text

Release 7 — days 1–6 daily, dose 1

2021-04-20

Systemic reaction (other): No abdominal pain, but very loose stool.

2021-04-21

Systemic reaction (other): Loose stool

Release 7 — day 7, dose 1

2021-04-23

Systemic reaction (other): Loose stool

Release 8 — day 28, dose 1

2021-05-14

Symptoms: Im still extremely tired

Release 8 — day 35, dose 1

2021-05-21

Symptoms: Still feeling tired.

Release 8 — day 7, dose 2

2021-05-28

Systemic reaction (other): On Saturday 5/22 which was 1 day after my shot my fever spiked to 102 & I was very ill. I had a fever for 2 & 1/2 days.

Release 9 — day 21, dose 2

2021-06-11

Symptoms: Im really tired

Release 9 — day 28, dose 2

2021-06-18

Symptoms: Im still really tired.

Release 9 — day 35, dose 2

2021-06-25

Symptoms: Im still tired

Release 9 — day 42, dose 2

2021-07-04

Symptoms: Im still tired!

Release 9 — 3 months, dose 2

2021-08-20

Symptoms: Headaches & frequent bowel movements.

Release 10 — days 1–6 daily, dose 3

2021-12-21

Systemic reaction (other): My gums are red & a bit swollen.

2021-12-23

Systemic reaction (other): My gums are still red & swollen.

Release 10 — day 7, dose 3

2021-12-24

Systemic reaction (other): My gums are still red.

Release 10 — day 21, dose 3

2022-01-07

Symptoms: My gums are still swollen and red. I also have a spot in the roof of my mouth that is red and tender.

Release 11 — 3 months, dose 3

2022-03-18

Symptoms: Increased tiredness.

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 ✓ ✓ ✓
SDFrequent bowel movements ✓ · ✓
SDGingival erythema · · ✓
SDGingival swelling · · ✓
SDHeadache ✓ · ✓
SDOral mucosal erythema · · ✓
SDOral pain · · ✓
SRODiarrhoea ✓ ✓ ✓
SROGingival erythema · · ✓
SROGingival swelling · · ✓
SROMalaise ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓

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

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