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6X2-18927-18964

4 vaccinations 7 coded responses 40 check-ins 6 free-text entries 1 call case
Sex
Female
Age at first dose
66+
ZIP prefix
802 / CO
Registered
2021-03-01
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-01-29
    Dose 1 — Moderna
  2. 2021-02-26
    Dose 2 — Moderna
  3. 2021-03-01
    Registered in v-safe
  4. 2021-03-01
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Chills, Fatigue, Headache, Pain, Pain in extremity, Pyrexia — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Fever 102.4 day after shot, severe headache, chills, severe joint pain and body aches, severe arm pain, extreme fatigue. Yesterday, day 2, fever 100.3, moderate headache, body aches, fatigue, arm pain.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  5. 2021-03-02
    Survey response — days 1–6 daily, dose 2
    MedDRA: Arthralgia, Joint swelling, Pain — Feeling: Fair · Site: Pain, Redness, Itching · Fatigue or tiredness
    Free text: On the second day after shot, forgot to include joint swelling with body aches and joint pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-03
    Survey response — days 1–6 daily, dose 2
    MedDRA: Fatigue, Pain in extremity — Feeling: Good · Site: Pain, Itching · Fatigue or tiredness
    Free text: Just surprised arm still a bit sore, but definitely better. Also surprised by lingering fatigue this far post shot, hard time shaking it, but better.
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-04
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · None
    Adult check-in
  8. 2021-03-05
    Health check-in — day 7, dose 2
    Feeling: Good · None
    Adult check-in
  9. 2021-03-14
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  10. 2021-03-20
    Health check-in — day 21, dose 2
    Feeling: Good
    Adult check-in
  11. 2021-03-28
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  12. 2021-04-04
    Health check-in — day 35, dose 2
    Feeling: Good
    Adult check-in
  13. 2021-04-11
    Health check-in — day 42, dose 2
    Feeling: Fair
    Adult check-in
  14. 2021-05-30
    Health check-in — 3 months, dose 2
    Feeling: Good
    Adult check-in
  15. 2021-08-29
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  16. 2021-10-28
    Dose 3 — Moderna
  17. 2021-10-28
    Survey response — day 0, dose 3
    MedDRA: No adverse event — Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Free text: Not at this time
    MedDRA releases: 2024-11 · check-in free text available
  18. 2021-10-29
    Health check-in — days 1–6 daily, dose 3
    Feeling: Poor · Site: Pain, Redness, Swelling, Itching · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to do your normal daily activities
    Adult check-in
  19. 2021-10-30
    Health check-in — days 1–6 daily, dose 3
    Feeling: Fair · Site: Pain, Redness, Swelling, Itching · Headache, Joint pains · Be unable to do your normal daily activities
    Adult check-in
  20. 2021-10-31
    Survey response — days 1–6 daily, dose 3
    MedDRA: Injection site reaction, Self-medication — Feeling: Good · Site: Pain, Redness, Swelling, Itching
    Free text: This is the most intense reaction I have had at the injection site of the three shots. Antihistamine helped some
    MedDRA releases: 2024-11 · check-in free text available
  21. 2021-11-01
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  22. 2021-11-02
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  23. 2021-11-03
    Health check-in — days 1–6 daily, dose 3
    Feeling: Good · Site: Redness · None
    Adult check-in
  24. 2021-11-04
    Survey response — day 7, dose 3
    MedDRA: Injection site erythema, Injection site pruritus, Injection site swelling — Feeling: Good · Site: Redness
    Free text: Redness still present at injection site, fading slowly. Swelling and itching gone
    MedDRA releases: 2024-11 · check-in free text available
  25. 2021-11-11
    Health check-in — day 14, dose 3
    Feeling: Good
    Adult check-in
  26. 2021-11-19
    Health check-in — day 21, dose 3
    Feeling: Good
    Adult check-in
  27. 2021-11-27
    Health check-in — day 28, dose 3
    Feeling: Good
    Adult check-in
  28. 2021-12-03
    Health check-in — day 35, dose 3
    Feeling: Good
    Adult check-in
  29. 2021-12-11
    Health check-in — day 42, dose 3
    Feeling: Good
    Adult check-in
  30. 2022-01-29
    Health check-in — 3 months, dose 3
    Feeling: Good
    Adult check-in
  31. 2022-04-14
    Dose 4 — Moderna
  32. 2022-04-15
    Health check-in — days 1–6 daily, dose 4
    Feeling: Poor · Site: Pain, Redness · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  33. 2022-04-16
    Health check-in — days 1–6 daily, dose 4
    Feeling: Fair · Site: Pain, Redness, Swelling · Headache, Joint pains, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activities
    Adult check-in
  34. 2022-04-17
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  35. 2022-04-18
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · Site: Pain, Redness · None
    Adult check-in
  36. 2022-04-19
    Health check-in — days 1–6 daily, dose 4
    Feeling: Good · None
    Adult check-in
  37. 2022-04-23
    Health check-in — day 7, dose 4
    Feeling: Good · None
    Adult check-in
  38. 2022-04-28
    Health check-in — day 14, dose 4
    Feeling: Good
    Adult check-in
  39. 2022-05-05
    Health check-in — day 21, dose 4
    Feeling: Good
    Adult check-in
  40. 2022-05-13
    Health check-in — day 28, dose 4
    Feeling: Good
    Adult check-in
  41. 2022-05-21
    Health check-in — day 35, dose 4
    Feeling: Good
    Adult check-in
  42. 2022-05-26
    Health check-in — day 42, dose 4
    Feeling: Good
    Adult check-in
  43. 2022-07-15
    Health check-in — 3 months, dose 4
    Feeling: Good
    Adult check-in
  44. 2022-10-14
    Health check-in — 6 months, dose 4
    Feeling: Good
    Adult check-in
  45. 2023-04-14
    Survey response — 12 months, dose 4
    MedDRA: COVID-19, Emergency care, Fatigue, Pyrexia — Feeling: Good · Be unable to do your normal daily activities, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultation, Outpatient clinic or urgent care clinic visit, Emergency room or emergency department visit
    MedDRA releases: 2024-11
  46. 2023-04-14
    Report sent to call center — 12 months, dose 4
    Be unable to do your normal daily activities · Get care from a doctor or other healthcare professional
    Telehealth, virtual health, or email health consultation · Outpatient clinic or urgent care clinic visit · Emergency room or emergency department visit · 1 call case(s)
  47. 2023-04-17

Vaccinations

DoseDateManufacturerCo-administered
12021-01-29Moderna
22021-02-26Moderna
32021-10-28Moderna No
42022-04-14Moderna No

Call center

1 call center case

1 unsuccessful

See the call center timeline

Free text

Release 4 — days 1–6 daily, dose 2

2021-03-01

Systemic reaction (other): Fever 102.4 day after shot, severe headache, chills, severe joint pain and body aches, severe arm pain, extreme fatigue. Yesterday, day 2, fever 100.3, moderate headache, body aches, fatigue, arm pain.

2021-03-02

Systemic reaction (other): On the second day after shot, forgot to include joint swelling with body aches and joint pain

Release 5 — days 1–6 daily, dose 2

2021-03-03

Systemic reaction (other): Just surprised arm still a bit sore, but definitely better. Also surprised by lingering fatigue this far post shot, hard time shaking it, but better.

Release 10 — day 0, dose 3

2021-10-28

Systemic reaction (other): Not at this time

Release 10 — days 1–6 daily, dose 3

2021-10-31

Systemic reaction (other): This is the most intense reaction I have had at the injection site of the three shots. Antihistamine helped some

Release 10 — day 7, dose 3

2021-11-04

Systemic reaction (other): Redness still present at injection site, fading slowly. Swelling and itching gone

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
SDCOVID-19 · · ✓
SDEmergency care · · ✓
SDFatigue · · ✓
SDPyrexia · · ✓
SROArthralgia ✓ ✓ ✓
SROChills ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROHeadache ✓ ✓ ✓
SROInjection site erythema · · ✓
SROInjection site pruritus · · ✓
SROInjection site reaction · · ✓
SROInjection site swelling · · ✓
SROJoint swelling ✓ ✓ ✓
SRONo adverse event · · ✓
SROPain ✓ ✓ ✓
SROPain in extremity ✓ ✓ ✓
SROPyrexia ✓ ✓ ✓
SROSelf-medication · · ✓

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

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