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Y9L-12959-08100

2 vaccinations 8 coded responses 23 check-ins 8 free-text entries 0 call cases
Sex
Female
Age at first dose
66+
ZIP prefix
560 / MN
Registered
2020-12-23
Relationship
Self
Race
White
Ethnicity
Not Hispanic or Latino

Timeline

  1. 2020-12-23
    Registered in v-safe
  2. 2020-12-23
    Dose 1 — Moderna
  3. 2020-12-23
    Health check-in — day 0, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  4. 2020-12-25
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · Site: Pain · None
    Adult check-in
  5. 2020-12-26
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  6. 2020-12-27
    Survey response — days 1–6 daily, dose 1
    MedDRA: Arthralgia, Chills, Dehydration — Feeling: Good · Chills, Joint pains
    Free text: Believe they are weather system related - cold damp air & snow blew in- have had joint pain from weather fronts before injection. Chills new but may be dehydrated & not moving around as much as I was the previous 4 days. Likely no symptoms r/t Vaccine
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  7. 2020-12-28
    Health check-in — days 1–6 daily, dose 1
    Feeling: Fair · Fatigue or tiredness
    Adult check-in
  8. 2020-12-29
    Health check-in — days 1–6 daily, dose 1
    Feeling: Good · None
    Adult check-in
  9. 2021-01-01
    Survey response — day 7, dose 1
    MedDRA: Chest pain — Feeling: Fair · Muscle or body aches
    Free text: Persistent sharp pain upper right pec probably not associated
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  10. 2021-01-06
    Health check-in — day 14, dose 1
    Feeling: Good
    Adult check-in
  11. 2021-01-15
    Health check-in — day 21, dose 1
    Feeling: Good
    Adult check-in
  12. 2021-01-20
    Dose 2 — Moderna
  13. 2021-01-21
    Survey response — days 1–6 daily, dose 2
    MedDRA: Asthenia — Feeling: Poor · Site: Pain · Fever · Chills, Headache, Joint pains, Muscle or body aches, Fatigue or tiredness, Nausea · Be unable to work, Be unable to do your normal daily activities
    Free text: Weakness
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  14. 2021-01-22
    Health check-in — days 1–6 daily, dose 2
    Feeling: Fair · Site: Pain · Fever · Muscle or body aches, Nausea
    Adult check-in
  15. 2021-01-23
    Survey response — days 1–6 daily, dose 2
    MedDRA: Ear pain — Feeling: Fair · Site: Pain · Headache
    Free text: Shooting ear pain
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  16. 2021-01-24
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Site: Swelling · Headache
    Adult check-in
  17. 2021-01-25
    Survey response — days 1–6 daily, dose 2
    MedDRA: Aphthous ulcer — Feeling: Good
    Free text: Blister canker sore in mouth
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  18. 2021-01-26
    Health check-in — days 1–6 daily, dose 2
    Feeling: Good · Headache
    Adult check-in
  19. 2021-01-27
    Survey response — day 7, dose 2
    MedDRA: Ear pain, Pain — Feeling: Fair · Headache
    Free text: Just some of the shooting ear pain returned
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  20. 2021-02-03
    Health check-in — day 14, dose 2
    Feeling: Good
    Adult check-in
  21. 2021-02-10
    Survey response — day 21, dose 2
    MedDRA: Headache — Feeling: Fair
    Free text: Just a bit headachy off & on lately - I dont typically get headaches. Otherwise okay
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  22. 2021-02-17
    Health check-in — day 28, dose 2
    Feeling: Good
    Adult check-in
  23. 2021-02-26
    Survey response — day 35, dose 2
    MedDRA: Ear pain, Ophthalmic migraine, Pre-existing disease — Feeling: Good
    Free text: Occasional ear pain, this time on right side. Had a couple visual migraines havent had for years. Maybe because working six days a week including being in vaccinator for a Covid vaccine!!
    MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
  24. 2021-03-03
    Health check-in — day 42, dose 2
    Feeling: Good
    Adult check-in
  25. 2021-07-25
    Health check-in — 6 months, dose 2
    Feeling: Good
    Adult check-in
  26. 2022-01-20
    Health check-in — 12 months, dose 2
    Feeling: Good
    Adult check-in

Vaccinations

DoseDateManufacturerCo-administered
12020-12-23Moderna
22021-01-20Moderna

Free text

Release 1 — days 1–6 daily, dose 1

2020-12-27

Systemic reaction (other): Believe they are weather system related - cold damp air & snow blew in- have had joint pain from weather fronts before injection. Chills new but may be dehydrated & not moving around as much as I was the previous 4 days. Likely no symptoms r/t Vaccine

Release 1 — day 7, dose 1

2021-01-01

Systemic reaction (other): Persistent sharp pain upper right pec probably not associated

Release 2 — days 1–6 daily, dose 2

2021-01-21

Systemic reaction (other): Weakness

2021-01-23

Systemic reaction (other): Shooting ear pain

2021-01-25

Systemic reaction (other): Blister canker sore in mouth

Release 2 — day 7, dose 2

2021-01-27

Systemic reaction (other): Just some of the shooting ear pain returned

Release 4 — day 21, dose 2

2021-02-10

Symptoms: Just a bit headachy off & on lately - I dont typically get headaches. Otherwise okay

Release 4 — day 35, dose 2

2021-02-26

Symptoms: Occasional ear pain, this time on right side. Had a couple visual migraines havent had for years. Maybe because working six days a week including being in vaccinator for a Covid vaccine!!

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
SDEar pain ✓ ✓ ✓
SDHeadache ✓ ✓ ✓
SDOphthalmic migraine ✓ ✓ ✓
SDPre-existing disease ✓ ✓ ✓
SROAphthous ulcer ✓ ✓ ✓
SROArthralgia ✓ ✓ ✓
SROAsthenia ✓ ✓ ✓
SROChest pain ✓ ✓ ✓
SROChills ✓ ✓ ✓
SRODehydration ✓ ✓ ✓
SROEar pain ✓ ✓ ✓
SROPain ✓ ✓ ✓

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