6YL-23019-05742
2 vaccinations
5 coded responses
10 check-ins
5 free-text entries
1 call case
- Sex
- Female
- Age at first dose
- 51-55
- ZIP prefix
- 921 / CA
- Registered
- 2021-04-09
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
-
2021-03-12
Dose 1 — Moderna
-
2021-04-09
Registered in v-safe
-
2021-04-09
Dose 2 — Moderna
- 2021-04-09
-
2021-04-10
Health check-in — days 1–6 daily, dose 2Feeling: Fair · Site: Pain · Headache, Muscle or body aches, Fatigue or tiredness · Be unable to do your normal daily activitiesAdult check-in
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2021-04-11
Survey response — days 1–6 daily, dose 2MedDRA: Fatigue — Feeling: Good · Site: Pain · Fatigue or tirednessFree text: I already have multiple sclerosis and deal with tiredness from that disease. However after both my first shot and my second shot I had extreme exhaustion for 24 to 32 hours after the shot and then it got much better at the 48-hour mark and by the third day it was back to normalMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-12
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2021-04-13
Survey response — days 1–6 daily, dose 2MedDRA: Abdominal pain, Nasal congestion — Feeling: Good · Fatigue or tiredness, Abdominal painFree text: Last night for the first time I woke up with odd pains in my abdomen. They didn't last very long and I was able to go back to sleep fairly quickly. I also had a stuffed nose yesterday afternoon and all night last night but after I showered this morning it went away.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-14
Survey response — days 1–6 daily, dose 2MedDRA: Headache, Self-medication — Feeling: Good · HeadacheFree text: Woke up again with a mild headache but after I took Advil it went awayMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-15
- 2021-04-16
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2021-10-08
Survey response — 6 months, dose 2MedDRA: Asthenia, Fatigue, Mobility decreased, Multiple sclerosis, Pre-existing disease — Feeling: Good · Be unable to work or attend school, Be unable to do your normal daily activitiesFree text: I received my third covid shot the booster on September 25, 2021. My side effects were much greater this time. I was exhausted and unable to properly sit up or walk for 48 hours. Because of my MS my right side has always been weak. But not like this.MedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Survey response — 12 months, dose 2MedDRA: Asthenia, Back pain, Discomfort, Flank pain, Kidney infection, Urinary tract infection — Feeling: Good · Be unable to work or attend school, Get care from a doctor or other healthcare professional · Telehealth, virtual health, or email health consultationFree text: I developed a UTI that spread to my kidney. I had pain first on my side but then along my back I had immense pressure on my bladder and I was very weak . It took two courses of antibiotics but I'm feeling much better now 34 days after 1st symptom.MedDRA releases: 2024-11 · check-in free text available
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2022-04-09
Report sent to call center — 12 months, dose 2Be unable to work or attend school · Get care from a doctor or other healthcare professionalTelehealth, virtual health, or email health consultation · 1 call case(s)
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2022-04-26
Call successfulNot applicable - Accidental Reporting
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-12 | Moderna | |
| 2 | 2021-04-09 | Moderna |
Call center
1 call center case
1 successful
Free text
Release 7 — days 1–6 daily, dose 2
Systemic reaction (other): I already have multiple sclerosis and deal with tiredness from that disease. However after both my first shot and my second shot I had extreme exhaustion for 24 to 32 hours after the shot and then it got much better at the 48-hour mark and by the third day it was back to normal
Systemic reaction (other): Last night for the first time I woke up with odd pains in my abdomen. They didn't last very long and I was able to go back to sleep fairly quickly. I also had a stuffed nose yesterday afternoon and all night last night but after I showered this morning it went away.
Systemic reaction (other): Woke up again with a mild headache but after I took Advil it went away
Release 10 — 6 months, dose 2
Symptoms: I received my third covid shot the booster on September 25, 2021. My side effects were much greater this time. I was exhausted and unable to properly sit up or walk for 48 hours. Because of my MS my right side has always been weak. But not like this. cut off by CDC
Release 11 — 12 months, dose 2
Symptoms: I developed a UTI that spread to my kidney. I had pain first on my side but then along my back I had immense pressure on my bladder and I was very weak . It took two courses of antibiotics but I'm feeling much better now 34 days after 1st symptom.
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 | Asthenia | · | · | ✓ |
| SD | Back pain | · | · | ✓ |
| SD | Discomfort | · | · | ✓ |
| SD | Fatigue | · | · | ✓ |
| SD | Flank pain | · | · | ✓ |
| SD | Kidney infection | · | · | ✓ |
| SD | Mobility decreased | · | · | ✓ |
| SD | Multiple sclerosis | · | · | ✓ |
| SD | Pre-existing disease | · | · | ✓ |
| SD | Urinary tract infection | · | · | ✓ |
| SRO | Abdominal pain | ✓ | ✓ | ✓ |
| SRO | Fatigue | ✓ | ✓ | ✓ |
| SRO | Headache | ✓ | ✓ | ✓ |
| SRO | Nasal congestion | ✓ | ✓ | ✓ |
| SRO | Self-medication | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release