Z3U-31891-57127
1 vaccination
6 coded responses
8 check-ins
6 free-text entries
0 call cases
- Sex
- Female
- Age at first dose
- 41-45
- ZIP prefix
- 837 / ID
- Registered
- 2021-03-27
- Relationship
- Self
- Race
- White
- Ethnicity
- Not Hispanic or Latino
Timeline
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2021-03-26
Dose 1 — Moderna
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2021-03-27
Registered in v-safe
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2021-03-27
Survey response — days 1–6 daily, dose 1MedDRA: Chest discomfort, Pyrexia — Feeling: Poor · Site: Pain · Fever · Headache, Joint pains, Muscle or body aches, Nausea · Be unable to work, Be unable to do your normal daily activitiesFree text: Tightness in my chest on left side and feverMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-29
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Poor · Fever · Headache, Muscle or body aches, Nausea, Abdominal pain · Be unable to work, Be unable to do your normal daily activitiesFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-30
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: Good · Rash, not including the immediate area around the injection siteFree text: InsomniaMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-03-31
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia, Sluggishness — Feeling: Fair · Be unable to do your normal daily activitiesFree text: I had insomnia so took a sleeping pill at 930pm, slept until 1130am, and it's 430pm and I still feel really sluggish, and almost drunk like. No idea if the vaccine had anything at all to do with this feeling or the lack of sleep from prior days or why such an extreme reaction to an overcounter sleeping pill.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
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2021-04-01
Survey response — days 1–6 daily, dose 1MedDRA: Insomnia — Feeling: GoodFree text: Had insomnia last night was awake until 430amMedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-02
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2021-04-10
Survey response — day 14, dose 1MedDRA: Eczema, Malaise, Pre-existing disease, Rash — Feeling: GoodFree text: Just a rash I believe may be related to my eczema, but it came on sudden and spread fast. I also felt a little sick like a couple days ago for about a day, but was able to do normal functions.MedDRA releases: 2021-09,2023-04,2024-11 · check-in free text available
- 2021-04-18
Vaccinations
| Dose | Date | Manufacturer | Co-administered |
|---|---|---|---|
| 1 | 2021-03-26 | Moderna |
Free text
Release 6 — days 1–6 daily, dose 1
Systemic reaction (other): Tightness in my chest on left side and fever
Systemic reaction (other): Insomnia
Systemic reaction (other): Insomnia
Systemic reaction (other): I had insomnia so took a sleeping pill at 930pm, slept until 1130am, and it's 430pm and I still feel really sluggish, and almost drunk like. No idea if the vaccine had anything at all to do with this feeling or the lack of sleep from prior days or why such an extreme reaction to an overcounter sleeping pill.
Systemic reaction (other): Had insomnia last night was awake until 430am
Release 7 — day 14, dose 1
Symptoms: Just a rash I believe may be related to my eczema, but it came on sudden and spread fast. I also felt a little sick like a couple days ago for about a day, but was able to do normal functions.
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 | Eczema | ✓ | ✓ | ✓ |
| SD | Malaise | ✓ | ✓ | ✓ |
| SD | Pre-existing disease | ✓ | ✓ | ✓ |
| SD | Rash | ✓ | ✓ | ✓ |
| SRO | Chest discomfort | ✓ | ✓ | ✓ |
| SRO | Insomnia | ✓ | ✓ | ✓ |
| SRO | Pyrexia | ✓ | ✓ | ✓ |
| SRO | Sluggishness | ✓ | ✓ | ✓ |
✓ active code · ○ coded but marked inactive · blank = not in that release