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Y5U-32311-91817

1 vaccination 11 coded responses 16 check-ins 11 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
618 / IL
Registered
2021-03-11
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2021-03-11
    Registered in v-safe
  2. 2021-03-11
    Dose 1 — Moderna
  3. 2021-03-11
    Survey response — day 0, dose 1
    MedDRA: Myalgia — Feeling: Good · Site: Pain
    Free text: Only 2 hours since shot so far arm feel little muscle pain and might start feeling a little head ache. Nothing bad
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  4. 2021-03-12
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · Fatigue or tiredness
    Adult check-in
  5. 2021-03-13
    Survey response — days 1–6 daily, dose 1
    MedDRA: Injection site pain — Feeling: Good · Fever · Fatigue or tiredness
    Free text: Shot area tender. Like a headache wants to start but just kind of hangs there
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  6. 2021-03-14
    Survey response — days 1–6 daily, dose 1
    MedDRA: Cough, Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: A little cough. And just tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2021-03-15
    Survey response — days 1–6 daily, dose 1
    MedDRA: Unevaluable event — Feeling: Fair · Fatigue or tiredness
    Free text: Just not normal. Sleep - good - head still seems different not stopping me about but could till something sDifferent
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  8. 2021-03-16
    Survey response — days 1–6 daily, dose 1
    MedDRA: Rhinorrhoea — Feeling: Good · Fatigue or tiredness
    Free text: Still a little cold run nose this am. Question how much ? Does one shot make u safe
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  9. 2021-03-17
    Survey response — days 1–6 daily, dose 1
    MedDRA: Fatigue — Feeling: Good · Fatigue or tiredness
    Free text: Still feel some what tired
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-03-18
    Health check-in — day 7, dose 1
    Feeling: Good · None
    Adult check-in
  11. 2021-03-25
    Survey response — day 14, dose 1
    MedDRA: Asthenia, Fatigue — Feeling: Good
    Free text: I still feel tired. Just feels like I have no engery. I understand I 83 yr old but I do better then I been able the last few weeks. I still moving but sitting a lot more since the shot and notice it and do things slower just different since shot
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  12. 2021-04-01
    Health check-in — day 21, dose 1
    Feeling: Fair
    Adult check-in
  13. 2021-04-08
    Health check-in — day 28, dose 1
    Feeling: Good
    Adult check-in
  14. 2021-04-15
    Survey response — day 35, dose 1
    MedDRA: Dyspnoea — Feeling: Good
    Free text: Seems like I run out of air. Then have to sit Have go short distant and in a slower way. Walk spans is shorter as I feel winded
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  15. 2021-04-22
    Survey response — day 42, dose 1
    MedDRA: Dyspnoea, Fatigue — Feeling: Good
    Free text: Just a lot more tied and get out of breath sooner then I did before. Still seems I have to take a few more sit down times then I did before the one shot just dont feel normal slow on daily activities
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-06-10
    Health check-in — 3 months, dose 1
    Feeling: Good
    Adult check-in
  17. 2021-09-09
    Survey response — 6 months, dose 1
    MedDRA: Fatigue — Feeling: Good
    Free text: Still have that tired feeling. Only to take one shot
    MedDRA releases: 2024-11 · check-in free text available
  18. 2022-03-11
    Survey response — 12 months, dose 1
    MedDRA: Fatigue — Feeling: Fair
    Free text: Still get wore out easy. Been the same since the shot
    MedDRA releases: 2024-11 · check-in free text available

Vaccinations

DoseDateManufacturerCo-administered
12021-03-11Moderna

Free text

Release 5 — day 0, dose 1

2021-03-11

Systemic reaction (other): Only 2 hours since shot so far arm feel little muscle pain and might start feeling a little head ache. Nothing bad

Release 5 — days 1–6 daily, dose 1

2021-03-13

Systemic reaction (other): Shot area tender. Like a headache wants to start but just kind of hangs there

2021-03-14

Systemic reaction (other): A little cough. And just tired

2021-03-15

Systemic reaction (other): Just not normal. Sleep - good - head still seems different not stopping me about but could till something sDifferent

2021-03-16

Systemic reaction (other): Still a little cold run nose this am. Question how much ? Does one shot make u safe

2021-03-17

Systemic reaction (other): Still feel some what tired

Release 6 — day 14, dose 1

2021-03-25

Symptoms: I still feel tired. Just feels like I have no engery. I understand I 83 yr old but I do better then I been able the last few weeks. I still moving but sitting a lot more since the shot and notice it and do things slower just different since shot

Release 7 — day 35, dose 1

2021-04-15

Symptoms: Seems like I run out of air. Then have to sit Have go short distant and in a slower way. Walk spans is shorter as I feel winded

Release 7 — day 42, dose 1

2021-04-22

Symptoms: Just a lot more tied and get out of breath sooner then I did before. Still seems I have to take a few more sit down times then I did before the one shot just dont feel normal slow on daily activities

Release 9 — 6 months, dose 1

2021-09-09

Symptoms: Still have that tired feeling. Only to take one shot

Release 11 — 12 months, dose 1

2022-03-11

Symptoms: Still get wore out easy. Been the same since the shot

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
SDAsthenia ✓ ✓ ✓
SDDyspnoea ✓ ✓ ✓
SDFatigue ✓ ✓ ✓
SROCough ✓ ✓ ✓
SROFatigue ✓ ✓ ✓
SROInjection site pain ✓ ✓ ✓
SROMyalgia ✓ ✓ ✓
SRORhinorrhoea ✓ ✓ ✓
SROUnevaluable event ✓ ✓ ✓

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

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